Organization Active NPI

Complete Dental Solutions

Doing business as Rock Creek Dental

  • Dental Clinic/Center
  • Broomfield, CO
National Provider Identifier
1659761310
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10573 Issued in CO
Legal business name
COMPLETE DENTAL SOLUTIONS
Doing business as
Rock Creek Dental
Practice address
403 Summit Blvd
Unit 202
Broomfield, CO 80021-8252
Phone
(303) 665-1281
NPI assigned
Feb 2, 2015
Last updated
Feb 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Dr. Clifton Lee Harris, DDS
Title
Dentist
Phone
(303) 440-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 10573 CO Primary

Addresses

Primary practice location

403 Summit Blvd
Unit 202
Broomfield, CO 80021-8252

Mailing address

403 Summit Blvd
Unit 202
Broomfield, CO 80021-8252
Phone (303) 665-1281

Other names 1

  • Rock Creek Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Complete Dental Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

403 Summit Blvd
Unit 202
Broomfield, CO 80021
Phone (303) 665-1281

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": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1659761310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SUMMIT BLVD",
            "address_2": "UNIT 202",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218252",
            "telephone_number": "303-665-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SUMMIT BLVD",
            "address_2": "UNIT 202",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218252",
            "telephone_number": "303-665-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DENTAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "303-440-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "10573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.