Southlands Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SOUTHLANDS ORTHODONTICS PLLC

Practice address

24450 E Smoky Hill Rd
Aurora, CO 80016-1385

Phone

(303) 307-4901

NPI assigned

Jun 6, 2023

Last updated

Jun 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andre Gillespie, DDSNPI 1285897751

Title

Owner

Phone

(720) 436-1303

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andre Marque Gillespie, D.D.S

  • Dentist
  • Aurora, CO
  • NPI 1285897751
  Authorized official Same address or phone

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1548954191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 N SALIDA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800115031",
            "telephone_number": "303-307-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24450 E SMOKY HILL RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161385",
            "telephone_number": "303-307-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLANDS ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-436-1303",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southlands Comprehensive Dentistry
• Southlands Dental Associates, LLC
• Southlands Dental LLC
• Southlands Endodontics
• Southlands Endodontics, PC
• Southlands Physical Therapy LLC
• Southlands Vision Associates (Altitude Eye Care at Southlands)
• Abbie L Southwick
• Daniela Liliana Souza, FNP
• Dalanda Sow

• Orthodontics and Dentofacial Orthopedics Dentistry in Aurora, CO
• Providers in Aurora, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.