City Center Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7559 Issued in CO

Legal business name

CITY CENTER DENTAL GROUP

Practice address

800 Englewood Pkwy
Suite a-2010
Englewood, CO 80110-7315

Phone

(303) 744-4808

Fax

(303) 744-5600

NPI assigned

Jun 9, 2015

Organization subpart

No

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

Authorized official

Name

Linda Gonzalez

Title

Practice Administrator

Phone

(303) 744-4808

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1609256221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ENGLEWOOD PKWY",
            "address_2": "SUITE A-2010",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801107315",
            "telephone_number": "303-744-4808",
            "fax_number": "303-744-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ENGLEWOOD PKWY",
            "address_2": "SUITE A-2010",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801107315",
            "telephone_number": "303-744-4808",
            "fax_number": "303-744-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY CENTER DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "303-744-4808"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addison Mark Cimino, MD
• Valerie Ann Cintron-Malave
• Keanna Renee Cisneros, MA
• Samantha Cisneros
• Lauren Cittadino, MS, RN, ACCNS-AG
• City of Englewood
• City of Englewood
• Alyssa Clancy
• Jonathan Newell Clapp, M.D.
• Clarity Rehabilitation, PLLC

• General Practice Dentistry in Englewood, CO
• Providers in Englewood, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.