Clinica Dental Latina

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

8424 Issued in CO

Legal business name

CLINICA DENTAL LATINA

Practice address

11175 E Mississippi Ave
Suite 100
Aurora, CO 80012-3137

Phone

(303) 364-9831

Fax

(303) 364-7985

NPI assigned

Nov 6, 2008

Organization subpart

No

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

Authorized official

Name

Giacomo Gamibini, D.D

Title

Owner

Phone

(303) 364-9831

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Creigh Crandall, DDS

  • Dentist
  • Waldorf, MD
  • NPI 1386167377
  NPD (past)

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1639323496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 E MISSISSIPPI AVE",
            "address_2": "SUITE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123137",
            "telephone_number": "303-364-9831",
            "fax_number": "303-364-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 E MISSISSIPPI AVE",
            "address_2": "SUITE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123137",
            "telephone_number": "303-364-9831",
            "fax_number": "303-364-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DENTAL LATINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "GAMIBINI",
        "authorized_official_first_name": "GIACOMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-364-9831",
        "authorized_official_credential": "D.D"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CO",
            "license": "8424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31601766",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Jeanne Clevenger, MSN, NNP-BC
• Benjamin Click, MD
• Cliffrose Recovery Services
• Jason Todd Cline
• Mitchell Grant Clingo, MD
• Clinica Denver PCD Ba Rocky (Clinica Denver Urgent Care)
• Clinton Durable Medical Equipment LLC
• Clinton Home Care, Inc.
• Alexander Nicholas Clinton
• Shantel S Clinton

• Preferred Provider Organization in Aurora, CO
• Providers in Aurora, CO by specialty
• Preferred Provider Organization in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.