Integra Dental Mile High

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

INTEGRA DENTAL MILE HIGH

Practice address

10200 E Girard Ave
Building a Suite 209
Denver, CO 80231-5500

Phone

(303) 369-0866

NPI assigned

Aug 4, 2014

Organization subpart

No

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

Authorized official

Name

Ron Bergloff

Title

Business Partner

Phone

(303) 369-0866

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1609285642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 E GIRARD AVE",
            "address_2": "BUILDING A SUITE 209",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 E GIRARD AVE",
            "address_2": "BUILDING A SUITE 209",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315500",
            "telephone_number": "303-369-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA DENTAL MILE HIGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "BERGLOFF",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "BUSINESS PARTNER",
        "authorized_official_telephone_number": "303-369-0866"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.