NPIMap

Organization Active NPI

Dentistry at Lincoln Center

  • Dentist
  • Englewood, CO
National Provider Identifier
1710211362
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8696 Issued in CO
Legal business name
DENTISTRY AT LINCOLN CENTER
Practice address
12624 Washington LN
Suite 102
Englewood, CO 80112-6015
Phone
(303) 768-8137
NPI assigned
Sep 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Jason Ray
Title
DDS
Phone
(303) 768-8137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8696 CO Primary

Addresses

Primary practice location

12624 Washington LN
Suite 102
Englewood, CO 80112-6015

Mailing address

12624 Washington LN
Suite 102
Englewood, CO 80112-6015
Phone (303) 768-8137

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1710211362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12624 WASHINGTON LN",
            "address_2": "SUITE 102",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801126015",
            "telephone_number": "303-768-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12624 WASHINGTON LN",
            "address_2": "SUITE 102",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801126015",
            "telephone_number": "303-768-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY AT LINCOLN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "303-768-8137"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "8696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.