NPIMap

Organization Active NPI

Classic Dental

  • General Practice Dentistry
  • Lone Tree, CO
National Provider Identifier
1629349154
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10563 Issued in CO
Legal business name
CLASSIC DENTAL
Practice address
10047 Park Meadows Dr
Lonetree, CO 80124-8407
Phone
(303) 768-8848
NPI assigned
Jan 13, 2012
Last updated
Jan 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Eric Walker, DMDNPI 1295959765
Title
Dentist
Phone
(303) 768-8848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10563 CO Primary

Addresses

Primary practice location

10047 Park Meadows Dr
Lonetree, CO 80124-8407

Mailing address

10047 Park Meadows Dr
Lonetree, CO 80124-8407
Phone (303) 768-8848

National Provider Directory

National Provider Directory

Locations

10047 Park Meadows Dr
Lone Tree, CO 80124
Phone (303) 768-8848

Practitioners & affiliated clinicians

Practitioners 1

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": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1629349154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10047 PARK MEADOWS DR",
            "city": "LONETREE",
            "state": "CO",
            "postal_code": "801248407",
            "telephone_number": "303-768-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10047 PARK MEADOWS DR",
            "city": "LONETREE",
            "state": "CO",
            "postal_code": "801248407",
            "telephone_number": "303-768-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "303-768-8848",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.