Retro Dental Aurora DBD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RETRO DENTAL AURORA DBD, LLC

Practice address

2993 S Peoria St Ste 210
Aurora, CO 80014-5707

Phone

(303) 696-6979

NPI assigned

Jul 11, 2018

Organization subpart

No

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

Authorized official

Name

Jamin Houser, DDS

Title

Chief Dental Officer

Phone

(719) 322-4949

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Trevor Wayne Given, DMD

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1497370209
  NPD (past)
• Jill L Sumner, D.M.D.

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1891919452
  NPD (past)

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1689150849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2993 S PEORIA ST STE 210",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145707",
            "telephone_number": "303-696-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2993 S PEORIA ST STE 210",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145707",
            "telephone_number": "303-696-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETRO DENTAL AURORA DBD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "HOUSER",
        "authorized_official_first_name": "JAMIN",
        "authorized_official_title_or_position": "CHIEF DENTAL OFFICER",
        "authorized_official_telephone_number": "719-322-4949",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restored Peace LLC
• Carol A. Reszka, LCSW
• Amy M Retherford
• Rethrive LLC
• Retina Specialists of Colorado PLLC
• Retro Dental Group Aurora
• Helene Retrouvey, MD
• Jane Reusch, MD
• Benjamin G Reuter, CRNA
• Jason William Reuter, M.D.

• General Practice Dentistry in Aurora, CO
• Providers in Aurora, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.