Organization Active NPI

Capitol Premier Dental Group, LLC

  • Dental Clinic/Center
  • Denver, CO
National Provider Identifier
1518407485
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6957 Issued in CO
Legal business name
CAPITOL PREMIER DENTAL GROUP, LLC
Practice address
3955 E Exposition Ave
Suite 310
Denver, CO 80209-5000
Phone
(303) 991-4455
Fax
(303) 991-4456
NPI assigned
Feb 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Dr. Lawrence Dan Yahnian, D.D.S.
Title
Dr/Owner
Phone
(303) 991-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6957 CO Primary

Addresses

Primary practice location

3955 E Exposition Ave
Suite 310
Denver, CO 80209-5000

Mailing address

3955 E Exposition Ave
Suite 310
Denver, CO 80209-5000
Phone (303) 991-4455

Other identifiers 1

IdentifierTypeStateIssuer
1326116328MedicaidCO

National Provider Directory

National Provider Directory

Locations

3955 E Exposition Ave
Ste 310
Denver, CO 80209
Phone (303) 388-5985

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1518407485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE",
            "address_2": "SUITE 310",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095000",
            "telephone_number": "303-991-4455",
            "fax_number": "303-991-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE",
            "address_2": "SUITE 310",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095000",
            "telephone_number": "303-991-4455",
            "fax_number": "303-991-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL PREMIER DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "YAHNIAN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "DAN",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "303-991-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "6957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326116328",
            "state": "CO"
        }
    ],
    "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 Feb 27, 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.