NPIMap

Organization Active NPI

Parker Modern Dentistry and Orthodontics, LLP

  • Dentist
  • Parker, CO
National Provider Identifier
1669723557
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PARKER MODERN DENTISTRY AND ORTHODONTICS, LLP
Practice address
9871 S Parker Rd Ste 105
Parker, CO 80134-8815
Phone
(303) 805-5703
Fax
(303) 805-1570
NPI assigned
Oct 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Dr. Bradford J O'Neill
Title
Owner Doctor
Phone
(303) 805-5703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

9871 S Parker Rd Ste 105
Parker, CO 80134-8815

Mailing address

2860 Michelle FL 2
Irvine, CA 92606-1008
Phone (714) 368-2084

Other names 1

  • Parker Modern Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

9871 S Parker Rd
Unit 105
Parker, CO 80134
Phone (303) 805-5703

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1669723557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE FL 2",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061008",
            "telephone_number": "714-368-2084",
            "fax_number": "714-368-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9871 S PARKER RD STE 105",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801348815",
            "telephone_number": "303-805-5703",
            "fax_number": "303-805-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER MODERN DENTISTRY AND ORTHODONTICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "303-805-5703",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parker Modern Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.