NPIMap

Organization Active NPI

Denver Dental Spa, PLLC

  • Dental Hygienist
  • Denver, CO
National Provider Identifier
1588067565
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH 906414 Issued in CO
Legal business name
DENVER DENTAL SPA, PLLC
Practice address
1905 Lawrence St Unit D
Denver, CO 80202-1826
Phone
(763) 639-4503
NPI assigned
Oct 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Authorized official

Name
Andrada Hrdlicka
Title
Owner
Phone
(763) 639-4503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X DH 906414 CO Primary

Addresses

Primary practice location

1905 Lawrence St Unit D
Denver, CO 80202-1826

Mailing address

1905 Lawrence St Unit D
Denver, CO 80202-1826
Phone (763) 639-4503

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1588067565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 LAWRENCE ST UNIT D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021826",
            "telephone_number": "763-639-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 LAWRENCE ST UNIT D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021826",
            "telephone_number": "763-639-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER DENTAL SPA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "HRDLICKA",
        "authorized_official_first_name": "ANDRADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-639-4503"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH 906414",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 3, 2014; 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.