Active NPI
Downtown Denver Dental PLLC
- Dental Clinic/Center
- Denver, CO
National Provider Identifier
1629694724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@downtowndenverdental.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Castle Rock, CO
- NPI 1174712152
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.