Organization Active NPI

Downtown Denver Dental PLLC

  • Dental Clinic/Center
  • Denver, CO
National Provider Identifier
1629694724
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DOWNTOWN DENVER DENTAL PLLC
Practice address
1050 17TH St Ste B-190
Denver, CO 80265-1050
Phone
(303) 296-1825
Fax
(303) 296-2107
NPI assigned
Jun 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Mrs. Jennifer Bach
Title
Office Administrator
Phone
(303) 296-1825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1050 17TH St Ste B-190
Denver, CO 80265-1050

Mailing address

1050 17TH St Ste B-190
Denver, CO 80265-1050
Phone (303) 296-1825

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@downtowndenverdental.com Direct

National Provider Directory

National Provider Directory

Locations

1050 17th St
Ste B190
Denver, CO 80265
Phone (303) 296-1825

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1629694724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 17TH ST STE B-190",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802651050",
            "telephone_number": "303-296-1825",
            "fax_number": "303-296-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 17TH ST STE B-190",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802651050",
            "telephone_number": "303-296-1825",
            "fax_number": "303-296-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN DENVER DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "BACH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "303-296-1825",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@downtowndenverdental.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1050 17th St Ste B-190",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802651050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.