Organization Active NPI

Bridgecreek Prosthetic Dentistry PLLC

  • Prosthodontics
  • Denver, CO
National Provider Identifier
1679147565
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
BRIDGECREEK PROSTHETIC DENTISTRY PLLC
Practice address
8751 E. Hampden Avenue
Suite C6
Denver, CO 80231-4930
Phone
(303) 755-4003
Fax
(303) 743-9638
NPI assigned
May 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Brian Coit Butler, DDS, MS
Title
Owner-Partner-Dentistprosthodontist
Phone
(303) 755-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

8751 E. Hampden Avenue
Suite C6
Denver, CO 80231-4930

Mailing address

8751 E. Hampden Avenue
Suite C6
Denver, CO 80231-4930
Phone (303) 755-4003

National Provider Directory

National Provider Directory

Locations

8751 E Hampden Ave
Ste C6
Denver, CO 80231
Phone (303) 755-4003

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": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1679147565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 E. HAMPDEN AVENUE",
            "address_2": "SUITE C6",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314930",
            "telephone_number": "303-755-4003",
            "fax_number": "303-743-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 E. HAMPDEN AVENUE",
            "address_2": "SUITE C6",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314930",
            "telephone_number": "303-755-4003",
            "fax_number": "303-743-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGECREEK PROSTHETIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "COIT",
        "authorized_official_title_or_position": "OWNER-PARTNER-DENTISTPROSTHODONTIST",
        "authorized_official_telephone_number": "303-755-4003",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.