NPIMap

Organization Active NPI

Paloma Dental

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1710474374
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00202416 Issued in CO
Legal business name
PALOMA DENTAL
Practice address
1225 35TH Street
Denver, CO 80205
Phone
(720) 440-7743
NPI assigned
Apr 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Sara Smith
Title
Front Office Coordinator
Phone
(720) 440-7743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DEN.00202416 CO Primary

Addresses

Primary practice location

1225 35TH Street
Denver, CO 80205

Mailing address

1225 35TH Street
Denver, CO 80205
Phone (720) 440-7743

Other names 1

  • Alexandra Bassett Former legal business name

National Provider Directory

National Provider Directory

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": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1710474374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 35TH STREET",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80205",
            "telephone_number": "720-440-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 35TH STREET",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80205",
            "telephone_number": "720-440-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "FRONT OFFICE COORDINATOR",
        "authorized_official_telephone_number": "720-440-7743"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00202416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexandra Bassett",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Alexandra Bassett",
            "code": "4",
            "type": "Former Legal Business 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 Apr 19, 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.