NPIMap

Organization Active NPI

Littleton Advanced Family Dental

  • General Practice Dentistry
  • Littleton, CO
National Provider Identifier
1669876272
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10729 Issued in CO
Legal business name
LITTLETON ADVANCED FAMILY DENTAL
Practice address
5622 S Delaware St
Littleton, CO 80120-5408
Phone
(303) 794-1707
Fax
(303) 730-3402
NPI assigned
Oct 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Dr. Greg Sefcik, DDS
Title
Dentist
Phone
(303) 794-1707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 00201897 CO
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 10729 CO Primary

Addresses

Primary practice location

5622 S Delaware St
Littleton, CO 80120-5408

Mailing address

5622 S Delaware St
Littleton, CO 80120-5408
Phone (303) 794-1707

Other identifiers 1

IdentifierTypeStateIssuer
75276062MedicaidCO

National Provider Directory

National Provider Directory

Locations

5622 S Delaware St
Littleton, CO 80120
Phone (303) 794-1707

Practitioners & affiliated clinicians

Practitioners 2

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": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1669876272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5622 S DELAWARE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205408",
            "telephone_number": "303-794-1707",
            "fax_number": "303-730-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5622 S DELAWARE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205408",
            "telephone_number": "303-794-1707",
            "fax_number": "303-730-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLETON ADVANCED FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "SEFCIK",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "303-794-1707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00201897",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75276062",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.