NPIMap

Organization Active NPI

Utberg Family Dentistry

  • Dentist
  • Parker, CO
National Provider Identifier
1619113990
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104866 Issued in CO
Legal business name
UTBERG FAMILY DENTISTRY
Practice address
17167 E. Cedar Gulch Parkway
Suite 102
Parker, CO 80134
Phone
(303) 841-5313
Fax
(303) 841-5313
NPI assigned
Dec 17, 2008
Last updated
Dec 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Robert Franklin Utberg, D.M.DNPI 1790849438
Title
Owner/President/Dentist
Phone
(303) 841-5313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 104866 CO Primary
Dentist 122300000X 6956 CO

Addresses

Primary practice location

17167 E. Cedar Gulch Parkway
Suite 102
Parker, CO 80134

Mailing address

17167 East Cedar Gulch Parkway
Suite 102
Parker, CO 80134
Phone (303) 841-5313

National Provider Directory

National Provider Directory

Locations

17167 Cedar Gulch Pkwy
Ste 102
Parker, CO 80134
Phone (303) 841-5313

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1619113990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17167 EAST CEDAR GULCH PARKWAY",
            "address_2": "SUITE 102",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "303-841-5313",
            "fax_number": "303-841-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17167 E. CEDAR GULCH PARKWAY",
            "address_2": "SUITE 102",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "303-841-5313",
            "fax_number": "303-841-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTBERG FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "UTBERG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "303-841-5313",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "104866",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "6956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 29, 2011; 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.