Organization Active NPI

Southlands Dental LLC

  • Dental Clinic/Center
  • Aurora, CO
National Provider Identifier
1508388059
Registry record updated Jul 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8456 Issued in CO
Legal business name
SOUTHLANDS DENTAL LLC
Practice address
22970 E Smoky Hill Rd
Aurora, CO 80016-1382
Phone
(720) 886-0606
NPI assigned
Jul 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2017

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

Authorized official

Name
Gunjan Kalra, DDS
Title
Member
Phone
(720) 886-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8456 CO Primary

Addresses

Primary practice location

22970 E Smoky Hill Rd
Aurora, CO 80016-1382

Mailing address

PO Box 460304
Aurora, CO 80046-0304
Phone (303) 638-7373

National Provider Directory

National Provider Directory

Locations

22970 E Smoky Hill Rd
Aurora, CO 80016
Phone (720) 886-0606

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": "1500163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500163200000",
    "number": "1508388059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460304",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800460304",
            "telephone_number": "303-638-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22970 E SMOKY HILL RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161382",
            "telephone_number": "720-886-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLANDS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-16",
        "last_updated": "2017-07-16",
        "status": "A",
        "authorized_official_last_name": "KALRA",
        "authorized_official_first_name": "GUNJAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "720-886-0606",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "8456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2017; 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.