Individual provider Active NPI

Blanca Estela Lares-Nelson, DDS

  • General Practice Dentistry
  • Arvada, CO
National Provider Identifier
1730210394
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7273 Issued in CO
Practice address
16205 W 64TH Ave Ste 200
Arvada, CO 80007-7401
Phone
(303) 940-1910
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7273 CO Primary

Addresses

Primary practice location

16205 W 64TH Ave Ste 200
Arvada, CO 80007-7401

Mailing address

6952 Secrest CT
Arvada, CO 80007-7650
Phone (303) 460-1073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Dentistry II PLLC PastSince Jul 24, 2022 Accepting new patients
Colorado Dental Partners LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730210394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6952 SECREST CT",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800077650",
            "telephone_number": "303-460-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16205 W 64TH AVE STE 200",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800077401",
            "telephone_number": "303-940-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARES-NELSON",
        "first_name": "BLANCA",
        "middle_name": "ESTELA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.