NPIMap

Organization Active NPI

Pioneer Hills Dental, PLLC

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1649677378
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10189 Issued in CO
Legal business name
PIONEER HILLS DENTAL, PLLC
Practice address
5492 S Parker Rd
Aurora, CO 80015-1136
Phone
(303) 766-8811
Fax
(303) 690-9425
NPI assigned
Nov 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Terrance WolbaumNPI 1295961514
Title
Owner
Phone
(303) 766-8811

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 10189 CO Primary

Addresses

Primary practice location

5492 S Parker Rd
Aurora, CO 80015-1136

Mailing address

5492 S Parker Rd
Aurora, CO 80015-1136
Phone (303) 766-8811

National Provider Directory

National Provider Directory

Locations

5492 S Parker Rd
Aurora, CO 80015
Phone (303) 690-4000

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": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1649677378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5492 S PARKER RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151136",
            "telephone_number": "303-766-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5492 S PARKER RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151136",
            "telephone_number": "303-766-8811",
            "fax_number": "303-690-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HILLS DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "WOLBAUM",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-766-8811"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.