NPIMap

Organization Active NPI

Comfort Dental Group of Northglenn

  • General Practice Dentistry
  • Northglenn, CO
National Provider Identifier
1720133499
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104182 Issued in CO
Legal business name
COMFORT DENTAL GROUP OF NORTHGLENN
Practice address
10780 Washington St
Northglenn, CO 80233-3439
Phone
(303) 452-6630
Fax
(303) 252-0237
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Roy A Martin Jr., D.D.SNPI 1972691061
Title
Partner
Phone
(303) 452-6630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 104182 CO Primary

Addresses

Primary practice location

10780 Washington St
Northglenn, CO 80233-3439

Mailing address

10780 Washington St
Northglenn, CO 80233-3439
Phone (303) 452-6630

National Provider Directory

National Provider Directory

Locations

10780 Washington St
Northglenn, CO 80233
Phone (303) 452-6630

Practitioners & affiliated clinicians

Practitioners 8

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720133499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 WASHINGTON ST",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802333439",
            "telephone_number": "303-452-6630",
            "fax_number": "303-252-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 WASHINGTON ST",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802333439",
            "telephone_number": "303-452-6630",
            "fax_number": "303-252-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT DENTAL GROUP OF NORTHGLENN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "303-452-6630",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "104182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.