Organization Active NPI

Englewood Dental Center PC

  • Dentist
  • Englewood, CO
National Provider Identifier
1619514387
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ENGLEWOOD DENTAL CENTER PC
Practice address
3401 S Broadway Unit 160
Englewood, CO 80113-2519
Phone
(303) 933-8880
NPI assigned
Dec 2, 2019
Last updated
Dec 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Authorized official

Name
Danny AbboudNPI 1285811679
Title
President
Phone
(303) 442-5000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

3401 S Broadway Unit 160
Englewood, CO 80113-2519

Mailing address

1610 Canyon Blvd
Boulder, CO 80302-5407

Other practice location 1

3401 S Broadway Unit 160
Englewood, CO 80113-2519
Phone (303) 933-8880

National Provider Directory

National Provider Directory

Locations

3401 S Broadway
Unit 160
Englewood, CO 80113
Phone (303) 444-2884

Practitioners & affiliated clinicians

Practitioners 3

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": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1619514387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 CANYON BLVD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 S BROADWAY UNIT 160",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132519",
            "telephone_number": "303-933-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 S Broadway Unit 160",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132519",
            "country_code": "US",
            "telephone_number": "303-933-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENGLEWOOD DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "ABBOUD",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-442-5000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.