Organization Active NPI

Denver Restorative Dentistry PLLC

Doing business as Denver Restorative Dentistry

  • Prosthodontics
  • Broomfield, CO
National Provider Identifier
1710360359
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
202267 Issued in CO
Legal business name
DENVER RESTORATIVE DENTISTRY PLLC
Doing business as
Denver Restorative Dentistry
Practice address
8181 Arista PL Unit 140
Broomfield, CO 80021-7918
Phone
(303) 427-4120
Fax
(303) 427-4009
NPI assigned
Jul 1, 2015
Last updated
Jul 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Felicia Lynn Losli
Title
Office Manager
Phone
(303) 427-4120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 202267 CO Primary

Addresses

Primary practice location

8181 Arista PL Unit 140
Broomfield, CO 80021-7918

Mailing address

8181 Arista PL Unit 140
Broomfield, CO 80021-7918
Phone (303) 427-4120

Other names 1

  • Denver Restorative Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Denver Restorative Dentistry2 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.

Locations

8181 Arista Pl
Unit 140
Broomfield, CO 80021
Phone (303) 427-4120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1710360359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 ARISTA PL UNIT 140",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800217918",
            "telephone_number": "303-427-4120",
            "fax_number": "303-427-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 ARISTA PL UNIT 140",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800217918",
            "telephone_number": "303-427-4120",
            "fax_number": "303-427-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER RESTORATIVE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "LOSLI",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-427-4120"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CO",
            "license": "202267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver Restorative Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Denver Restorative Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 29, 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.