Organization Active NPI

Perfect Teeth / West 34TH Avenue P.C.

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1487984118
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5536 Issued in CO
Legal business name
PERFECT TEETH / WEST 34TH AVENUE P.C.
Practice address
3190 W 34TH Ave
Denver, CO 80211-3208
Phone
(303) 458-3838
Fax
(303) 458-1357
NPI assigned
Dec 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lauren Hill
Title
RCM, Director
Phone
(972) 930-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5536 CO Primary

Addresses

Primary practice location

3190 W 34TH Ave
Denver, CO 80211-3208

Mailing address

3190 W 34TH Ave
Denver, CO 80211-3208
Phone (303) 458-3838

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1487984118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 W 34TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113208",
            "telephone_number": "303-458-3838",
            "fax_number": "303-458-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 W 34TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113208",
            "telephone_number": "303-458-3838",
            "fax_number": "303-458-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT TEETH / WEST 34TH AVENUE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "RCM, DIRECTOR",
        "authorized_official_telephone_number": "972-930-7707"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "5536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.