Organization Active NPI

Open and Affordable Dental Centennial PLLC

  • Dentist
  • Centennial, CO
National Provider Identifier
1669248852
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OPEN AND AFFORDABLE DENTAL CENTENNIAL PLLC
Practice address
9025 E Mineral Cir Ste 102
Centennial, CO 80112-3449
Phone
(303) 351-1499
Fax
(720) 307-5755
NPI assigned
Nov 28, 2023
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Carly Woods
Title
Chief Operations Officer
Phone
(720) 280-6584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

9025 E Mineral Cir Ste 102
Centennial, CO 80112-3449

Mailing address

9025 E Mineral Cir Ste 102
Centennial, CO 80112-3449
Phone (303) 351-1499

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1669248852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 E MINERAL CIR STE 102",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123449",
            "telephone_number": "303-351-1499",
            "fax_number": "720-307-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 E MINERAL CIR STE 102",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123449",
            "telephone_number": "303-351-1499",
            "fax_number": "720-307-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN AND AFFORDABLE DENTAL CENTENNIAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "720-280-6584"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.