Alisha Evangeline Prince, DDS BDS MS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00205449 Issued in CO

Practice address

9774 Washington St
Thornton, CO 80229

Phone

(303) 256-9610

NPI assigned

Dec 27, 2022

Last updated

Jun 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley View Dental PLLC

  • Dental Clinic/Center
  • Thornton, CO
  • NPI 1013694272
  Authorized official Same address or phone
• Washington Plaza Dentistry, LLP

  dba Washington Plaza Dentistry

  • Dentist
  • Thornton, CO
  • NPI 1942932207
  NPD
• Sue James, D.D.S., P.C.

  • Dentist
  • Thornton, CO
  • NPI 1598145864
  NPD (past)

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1659084382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9351 GRANT ST STE 340",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294365",
            "telephone_number": "303-254-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9774 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80229",
            "telephone_number": "303-256-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "ALISHA",
        "middle_name": "EVANGELINE",
        "name_prefix": "Dr.",
        "credential": "DDS BDS MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Occ Med PLLC
• Heather Daphne Prestridge, CPM
• Paul O. Price
• Yesenia Prieto, DH
• Sean Michael Primus, D.C.
• Priscilla Printz, LPC.0016571
• Ian Richard Proano, MA
• Professional Interpreting Services, LLC
• Dean L. Prok, M.D.
• Ashley Propst

• Dentist in Thornton, CO
• Providers in Thornton, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.