Organization Active NPI

Linked to Craig 501C3

  • Dentist
  • Centennial, CO
National Provider Identifier
1669930319
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LINKED TO CRAIG 501C3
Practice address
9085 E. Mineral Circle
Suite 350
Centennial, CO 80112
Phone
(303) 773-8262
Fax
(303) 773-8262
NPI assigned
Mar 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Mrs. Jean Michael Link, DDS
Title
Dentist/Owner
Phone
(303) 773-8262

Specialties & licenses 1

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

Addresses

Primary practice location

9085 E. Mineral Circle
Suite 350
Centennial, CO 80112

Mailing address

9085 E. Mineral Circle
Suite 350
Centennial, CO 80112
Phone (303) 773-8262

Other identifiers 1

IdentifierTypeStateIssuer
60889357MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Linked to Craig2 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

9085 E Mineral Cir
Ste 350
Centennial, CO 80112
Phone (303) 773-8262

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1669930319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9085 E. MINERAL CIRCLE",
            "address_2": "SUITE 350",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "303-773-8262",
            "fax_number": "303-773-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9085 E. MINERAL CIRCLE",
            "address_2": "SUITE 350",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "303-773-8262",
            "fax_number": "303-773-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINKED TO CRAIG 501C3",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "LINK",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "303-773-8262",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60889357",
            "state": "CO"
        }
    ],
    "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 Mar 12, 2019; 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.