Active NPI
Gregg Lurcott, DDS, PLLC
- Oral and Maxillofacial Surgery (Dentist)
- Parker, CO
National Provider Identifier
1609447291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- GREGG LURCOTT, DDS, PLLC
- Practice address
- 17167 East Cedar Gulch Parkway
Suite 100
Parker, CO 80134 - Phone
- (303) 699-0351
- NPI assigned
- Jul 6, 2021
- Organization subpart
- Yes
- Parent organization
- GREG LUCROTT DDS PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rebecca Lurcott, MD
- Title
- Authorized Official
- Phone
- (303) 744-1369
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
17167 East Cedar Gulch Parkway
Suite 100
Parker, CO 80134
Mailing address
400 S Colorado Blvd
Suite 450
Denver, CO 80246
Phone (303) 744-1369
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35281278 | Medicaid | CO |
Other names 1
- Colorado Oral Surgery
National Provider Directory
National Provider Directory- Tax ID family
- Gregg Lurcott DDS PLLC
- Part of
- Gregg Lurcott DDS PLLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oral and Maxillofacial Surgery (Dentist)
- Denver, CO
- NPI 1417186867
-
- Oral and Maxillofacial Surgery (Dentist)
- Denver, CO
- NPI 1699347187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630281600000",
"number": "1609447291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S COLORADO BLVD",
"address_2": "SUITE 450",
"city": "DENVER",
"state": "CO",
"postal_code": "80246",
"telephone_number": "303-744-1369",
"fax_number": "303-744-9879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17167 EAST CEDAR GULCH PARKWAY",
"address_2": "SUITE 100",
"city": "PARKER",
"state": "CO",
"postal_code": "80134",
"telephone_number": "303-699-0351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGG LURCOTT, DDS, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GREG LUCROTT DDS PLLC",
"enumeration_date": "2021-07-06",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A",
"authorized_official_last_name": "LURCOTT",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "303-744-1369",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35281278",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Colorado Oral Surgery",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Colorado Oral Surgery",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.