Active NPI
David J Hayutin DDS Prof LLC
Doing business as Cherry Creek Pediatric Dentistry Prof LLC
- Pediatric Dentistry
- Denver, CO
National Provider Identifier
1649271198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 6181
- Legal business name
- DAVID J HAYUTIN DDS PROF LLC
- Doing business as
- Cherry Creek Pediatric Dentistry Prof LLC
- Practice address
- 5055 E Kentucky Ave
Denver, CO 80246 - Phone
- (303) 757-8844
- Fax
- (303) 759-0994
- NPI assigned
- Aug 9, 2005
- 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
- Dr. David Joel Hayutin, DDS
- Title
- Manager
- Phone
- (303) 757-8844
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 6181 | CO | Primary |
| Pediatric Dentistry | 1223P0221X | 915 | WY |
Addresses
Primary practice location
5055 E Kentucky Ave
Denver, CO 80246
Mailing address
5055 E Kentucky Ave
Denver, CO 80246
Phone (303) 757-8844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83874330 | Medicaid | CO |
Other names 1
- Cherry Creek Pediatric Dentistry Prof LLC
National Provider Directory
National Provider DirectoryLocations
5055 E Kentucky Ave
Denver, CO 80246
Phone (303) 377-7744
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Denver, CO
- NPI 1831198050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649271198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 E KENTUCKY AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "80246",
"telephone_number": "303-757-8844",
"fax_number": "303-759-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 E KENTUCKY AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "80246",
"telephone_number": "303-757-8844",
"fax_number": "303-759-0994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID J HAYUTIN DDS PROF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HAYUTIN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "JOEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "303-757-8844",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "CO",
"license": "6181",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "WY",
"license": "915",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83874330",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cherry Creek Pediatric Dentistry Prof LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denver, CO
- David Drucker, MD, PC
- David Erik Ouderkirk DPM PC (Colorado Clinics for Foot and Ankle)
- David Gordon, MD, PC (Integrative Medicine of Cherry Creek)
- David H Klekamp DDS, P.C.
- David Handley, M.D., LLC
- David J. Kerr, M.D. PC
- David L Dahlhauser DC PC
- David M. Kennedy D.D.S., P.C.
- David P Schnur MDPC
- David P. Schnur M.D. P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.