Organization Active NPI

Gregg Lurcott, DDS, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Parker, CO
National Provider Identifier
1609447291
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
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 PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
35281278MedicaidCO

Other names 1

  • Colorado Oral Surgery Other name

National Provider Directory

National Provider Directory
Tax ID family
Gregg Lurcott DDS PLLC3 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.