Active NPI
Derrick Quentin Price, DDS
- General Practice Dentistry
- Centennial, CO
National Provider Identifier
1609036383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9688
- Practice address
- 8223 S Quebec St
Unit a
Centennial, CO 80112-4415 - Phone
- (303) 689-2273
- Fax
- (303) 689-0050
- NPI assigned
- Jun 16, 2008
- Last updated
- Jun 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9688 | CO | Primary |
Addresses
Primary practice location
8223 S Quebec St
Unit a
Centennial, CO 80112-4415
Mailing address
8223 S Quebec St
Unit a
Centennial, CO 80112-4415
Phone (303) 689-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9688 | CO | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Dental Centennial | Past | Accepting new patients | |
| Comfort Dental Smokey Hill, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Centennial, CO
- NPI 1588870869
-
- General Practice Dentistry
- Aurora, CO
- NPI 1942791256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1609036383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8223 S QUEBEC ST",
"address_2": "UNIT A",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801124415",
"telephone_number": "303-689-2273",
"fax_number": "303-689-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8223 S QUEBEC ST",
"address_2": "UNIT A",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801124415",
"telephone_number": "303-689-2273",
"fax_number": "303-689-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "DERRICK",
"middle_name": "QUENTIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "9688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.