Organization Active NPI

Gregg Lurcott, DDS, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Denver, CO
National Provider Identifier
1699347187
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
GREGG LURCOTT, DDS, PLLC
Practice address
2373 Central Park Blvd Suite 301
Denver, CO 80238
Phone
(303) 955-5587
Fax
(303) 955-5596
NPI assigned
Jul 14, 2021
Organization subpart
Yes
Parent organization
GREGG LURCOTT DDS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Dr. Rebecca Lurcott, M.D.
Title
Authorized Official
Phone
(303) 744-1369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

2373 Central Park Blvd Suite 301
Denver, CO 80238

Mailing address

400 S Colorado Blvd Suite 450
Denver, CO 80246
Phone (303) 744-1369

Other identifiers 1

IdentifierTypeStateIssuer
35281278MedicaidCO

Other names 1

  • Colorado Oral Surgery Other name

National Provider Directory

National Provider Directory
Tax ID family
Gregg Lurcott DDS PLLC3 organizations share this tax ID, including this one
Part of
Gregg Lurcott DDS PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2373 Central Park Blvd
Unit 301
Denver, CO 80238
Phone (303) 955-5587

17167 Cedar Gulch Pkwy
Ste 100
Parker, CO 80134
Phone (303) 699-0351

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1699347187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S COLORADO BLVD SUITE 450",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80246",
            "telephone_number": "303-744-1369",
            "fax_number": "303-744-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD SUITE 301",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80238",
            "telephone_number": "303-955-5587",
            "fax_number": "303-955-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG LURCOTT, DDS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREGG LURCOTT DDS PLLC",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "LURCOTT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "303-744-1369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35281278",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Oral Surgery",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Colorado Oral Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 30, 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.