NPIMap

Organization Active NPI

Aurora Periodontics & Implant Dentistry

  • Periodontics
  • Centennial, CO
National Provider Identifier
1730458050
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
10488 Issued in CO
Legal business name
AURORA PERIODONTICS & IMPLANT DENTISTRY
Practice address
20971 E Smoky Hill Rd Ste 202
Centennial, CO 80015-5187
Phone
(303) 400-1100
Fax
(303) 400-4422
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Dr. Eric Paul Anderson, DDS, MSNPI 1497042725
Title
Owner
Phone
(303) 400-1100

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 10488 CO Primary

Addresses

Primary practice location

20971 E Smoky Hill Rd Ste 202
Centennial, CO 80015-5187

Mailing address

20971 E Smoky Hill Rd Ste 202
Centennial, CO 80015-5187
Phone (303) 400-1100

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": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1730458050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20971 E SMOKY HILL RD STE 202",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155187",
            "telephone_number": "303-400-1100",
            "fax_number": "303-400-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20971 E SMOKY HILL RD STE 202",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155187",
            "telephone_number": "303-400-1100",
            "fax_number": "303-400-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PERIODONTICS & IMPLANT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-400-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "10488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.