Spectrum Dental Group PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

7434 Issued in CO

Legal business name

SPECTRUM DENTAL GROUP PLLC

Practice address

6660 E Hampden Ave Ste 201
Denver, CO 80224-3035

Phone

(303) 388-5599

Fax

(303) 388-5595

NPI assigned

Apr 13, 2017

Last updated

Jun 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward Ruvins, DDS

Title

PLLC Member

Phone

(303) 388-5599

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1689108961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 E HAMPDEN AVE STE 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243033",
            "telephone_number": "303-368-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 E HAMPDEN AVE STE 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243035",
            "telephone_number": "303-388-5599",
            "fax_number": "303-388-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "RUVINS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PLLC MEMBER",
        "authorized_official_telephone_number": "303-388-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "7434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Colorado

• 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.