Breathe Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

202212 Issued in CO

Legal business name

BREATHE DENTAL, LLC

Practice address

6410 Miller St # 15
Arvada, CO 80004-2833

Phone

(720) 822-9059

NPI assigned

May 16, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Craig M Cardon, DMD

Title

Owner/President

Phone

(720) 822-9059

Specialties & licenses 1

Addresses

Other names 1

• Table Mountain Dental Group Doing business as

Locations

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494892800000",
    "number": "1578090924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14333 W 48TH PL",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 MILLER ST # 15",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800042833",
            "telephone_number": "720-822-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-05-16",
        "status": "A",
        "authorized_official_last_name": "CARDON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "720-822-9059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "202212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Table Mountain Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrienne Bratton, MFTC
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• Danielle Bravo, LCSW
• Ian Joseph Bray, PHARMD
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• Marcelle Breeden
• Anne H Brenner, MD
• Matthew Douglas Bressan, DPT
• Laura Brett
• Brian Brewer, PA-C

• Dentist in Arvada, CO
• Providers in Arvada, CO by specialty
• Dentist in Colorado

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