NPIMap

Organization Active NPI

Beth L Nielsen

  • Pediatric Dentistry
  • Parker, CO
National Provider Identifier
1497025472
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8278 Issued in CO
Legal business name
BETH L NIELSEN
Practice address
16830 Northgate Dr
Suite 100
Parker, CO 80134-5778
Phone
(303) 841-9009
Fax
(303) 841-3695
NPI assigned
Jan 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Beth Leone Nielsen, DDSNPI 1568584340
Title
Owner/President
Phone
(303) 841-9009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 8278 CO Primary

Addresses

Primary practice location

16830 Northgate Dr
Suite 100
Parker, CO 80134-5778

Mailing address

16830 Northgate Dr
Suite 100
Parker, CO 80134-5778
Phone (303) 841-9009

Other names 1

  • Sweetpea Children's Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

16830 Northgate Dr
Unit 100
Parker, CO 80134
Phone (303) 841-9009

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": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1497025472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16830 NORTHGATE DR",
            "address_2": "SUITE 100",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345778",
            "telephone_number": "303-841-9009",
            "fax_number": "303-841-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16830 NORTHGATE DR",
            "address_2": "SUITE 100",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345778",
            "telephone_number": "303-841-9009",
            "fax_number": "303-841-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH L NIELSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "LEONE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "303-841-9009",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "8278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweetpea Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.