Organization Active NPI

Sprout and Bloom Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Littleton, CO
National Provider Identifier
1548846504
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SPROUT AND BLOOM PEDIATRIC DENTISTRY, PLLC
Practice address
13402 W Coal Mine Ave Ste 125
Littleton, CO 80127-5407
Phone
(720) 615-6087
Fax
(720) 615-6086
NPI assigned
Mar 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Authorized official

Name
Allison Davis, DDSNPI 1053851485
Title
Owner
Phone
(720) 615-6087

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 Primary

Addresses

Primary practice location

13402 W Coal Mine Ave Ste 125
Littleton, CO 80127-5407

Mailing address

13402 W Coal Mine Ave Ste 125
Littleton, CO 80127-5407
Phone (720) 615-6087

National Provider Directory

National Provider Directory

Locations

13402 W Coal Mine Ave
Ste 125
Littleton, CO 80127
Phone (720) 615-6087

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": "1616284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1548846504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13402 W COAL MINE AVE STE 125",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801275407",
            "telephone_number": "720-615-6087",
            "fax_number": "720-615-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 W COAL MINE AVE STE 125",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801275407",
            "telephone_number": "720-615-6087",
            "fax_number": "720-615-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT AND BLOOM PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-21",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-615-6087",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.