NPIMap

Organization Active NPI

Main Street Dental, PC

  • Dentist
  • Aurora, CO
National Provider Identifier
1659817328
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104888 Issued in CO
Legal business name
MAIN STREET DENTAL, PC
Practice address
6240 S Main St
Suite 295
Aurora, CO 80016-5376
Phone
(303) 627-5460
Fax
(303) 627-5438
NPI assigned
Jan 18, 2017
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Dr. Brian W Langenfeld, DDSNPI 1114045119
Title
Dentist
Phone
(303) 627-5460

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
Dentist 122300000X 104888 CO Primary

Addresses

Primary practice location

6240 S Main St
Suite 295
Aurora, CO 80016-5376

Mailing address

6240 S Main St
Suite 295
Aurora, CO 80016-5376
Phone (303) 627-5460

Other identifiers 1

IdentifierTypeStateIssuer
93222858MedicaidCO

National Provider Directory

National Provider Directory

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": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1659817328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 S MAIN ST",
            "address_2": "SUITE 295",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165376",
            "telephone_number": "303-627-5460",
            "fax_number": "303-627-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 S MAIN ST",
            "address_2": "SUITE 295",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165376",
            "telephone_number": "303-627-5460",
            "fax_number": "303-627-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "LANGENFELD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "303-627-5460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "104888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93222858",
            "state": "CO"
        }
    ],
    "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 Jan 18, 2017; 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.