M.S.D. Endodontics, P.C.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6963 Issued in CO

Legal business name

M.S.D. ENDODONTICS, P.C.

Doing business as

Rocky Mountain Precision Endodontics

Practice address

12297 Pennsylvania St
Suite 2
Thornton, CO 80241-3165

Phone

(303) 920-4196

Fax

(303) 920-4198

NPI assigned

Oct 3, 2006

Last updated

Aug 22, 2020By 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

Dr. Matthew S Davis, D.D.S.NPI 1013001171

Title

President/Owner

Phone

(303) 920-4196

Specialties & licenses 1

Addresses

Other names 1

• Rocky Mountain Precision Endodontics Doing business as

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.

• Matthew S Davis, D.D.S.

  • Endodontics
  • Thornton, CO
  • NPI 1013001171
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598859662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12297 PENNSYLVANIA ST",
            "address_2": "SUITE 2",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413165",
            "telephone_number": "303-920-4196",
            "fax_number": "303-920-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12297 PENNSYLVANIA ST",
            "address_2": "SUITE 2",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413165",
            "telephone_number": "303-920-4196",
            "fax_number": "303-920-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.S.D. ENDODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "303-920-4196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "6963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Precision Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Schyenne Ly, PHARMD
• Robyn Patrice Lynn, OTR
• Julie Lyons, MA, LPC
• Sean Ma, OD
• Matthew Brian Macarus, M.ED.
• David Macaulay
• Christopher Macey
• Anastacia Macias, RN

• Endodontics in Thornton, CO
• Providers in Thornton, CO by specialty
• Endodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.