Organization Active NPI

Convenient Dental Specialists Denver East PLLC

  • Dentist
  • Denver, CO
National Provider Identifier
1730783507
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CONVENIENT DENTAL SPECIALISTS DENVER EAST PLLC
Practice address
9450 E Mississippi Ave Unit a
Denver, CO 80247-2427
Phone
(720) 414-2319
NPI assigned
Nov 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Jason Stott, DDS
Title
Owner
Phone
(720) 414-2319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

9450 E Mississippi Ave Unit a
Denver, CO 80247-2427

Mailing address

9450 E Mississippi Ave Unit a
Denver, CO 80247-2427
Phone (720) 414-2319

National Provider Directory

National Provider Directory

Locations

9450 E Mississippi Ave
Unit A
Denver, CO 80247
Phone (303) 503-3260

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1730783507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 E MISSISSIPPI AVE UNIT A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802472427",
            "telephone_number": "720-414-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 E MISSISSIPPI AVE UNIT A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802472427",
            "telephone_number": "720-414-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT DENTAL SPECIALISTS DENVER EAST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "STOTT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-414-2319",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 23, 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.