NPIMap

Organization Active NPI

Complete Dental Solutions

  • Dental Clinic/Center
  • Broomfield, CO
National Provider Identifier
1699193466
Registry record updated Mar 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10573 Issued in CO
Legal business name
COMPLETE DENTAL SOLUTIONS
Practice address
413 Summit Blvd
Suite 204
Broomfield, CO 80021-8294
Phone
(303) 440-3300
Fax
(877) 768-3978
NPI assigned
Mar 30, 2014
Last updated
Mar 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2014

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

Authorized official

Name
Dr. Clifton L Harris, DDS
Title
Owner / Dentist
Phone
(434) 989-3712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 10573 CO Primary

Addresses

Primary practice location

413 Summit Blvd
Suite 204
Broomfield, CO 80021-8294

Mailing address

413 Summit Blvd
Suite 204
Broomfield, CO 80021-8294
Phone (303) 440-3300

National Provider Directory

National Provider Directory
Tax ID family
Complete Dental Solutions2 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.

NPI Registry JSON

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

{
    "created_epoch": "1396137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396137600000",
    "number": "1699193466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 SUMMIT BLVD",
            "address_2": "SUITE 204",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218294",
            "telephone_number": "303-440-3300",
            "fax_number": "877-768-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SUMMIT BLVD",
            "address_2": "SUITE 204",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218294",
            "telephone_number": "303-440-3300",
            "fax_number": "877-768-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DENTAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-30",
        "last_updated": "2014-03-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "434-989-3712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "10573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.