Treasured Teeth Reunion

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9579 Issued in CO

Legal business name

TREASURED TEETH REUNION

Practice address

18335 E 103Rd Ave Unit 103
Commerce City, CO 80022-3103

Phone

(303) 853-9955

Fax

(303) 853-9954

NPI assigned

Mar 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Derren E Tippets, DMD

Title

Owner

Phone

(303) 853-9955

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Zehra Zaid, DDS, MS

  • Pediatric Dentistry
  • Commerce City, CO
  • NPI 1578000329
  NPD (past)

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1497053284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18335 E 103RD AVE UNIT 103",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223103",
            "telephone_number": "303-853-9955",
            "fax_number": "303-853-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18335 E 103RD AVE UNIT 103",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223103",
            "telephone_number": "303-853-9955",
            "fax_number": "303-853-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURED TEETH REUNION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "TIPPETS",
        "authorized_official_first_name": "DERREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-853-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "9579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77383877",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10179054",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nallely Hazel Torres
• Total Renal Care Inc
• Toysftk Consulting, LLC
• Elizabeth Tran
• Sherleen My Tran
• Cynthia L Trujillo, LCSW
• Kelly Ann Tucker, M.R.C.
• Chelsea Lucia Turco
• Kellie Jean Turner, LPC
• Jason E Twardzik-Heine, MD

• Pediatric Dentistry in Commerce City, CO
• Providers in Commerce City, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.