Crestline Dental Group and Orthodontics, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CRESTLINE DENTAL GROUP AND ORTHODONTICS, LLP

Practice address

5392 S Wadsworth Blvd
Unit 103
Lakewood, CO 80123-2227

Phone

(303) 979-4227

Fax

(303) 845-5120

NPI assigned

Nov 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles F Rodgers, DDS

Title

Owner Doctor

Phone

(303) 979-4227

Specialties & licenses 1

Addresses

Other names 1

• CRESTLINE DETNAL GROUP AND ORTHODONTICS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luke Aaron Johnson, DDS

  • General Practice Dentistry
  • Austin, TX
  • NPI 1326489576
  NPD (past)

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1740433762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5392 S WADSWORTH BLVD",
            "address_2": "UNIT 103",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "801232227",
            "telephone_number": "303-979-4227",
            "fax_number": "303-845-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTLINE DENTAL GROUP AND ORTHODONTICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "303-979-4227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRESTLINE DETNAL GROUP AND ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Creative Treatment Options Inc.
• Creative Treatment Options Inc.
• Creative Treatment Options Inc.
• Creative Treatment Options, Inc.
• Mary Faith Cressman, LCSW
• Kelly Z Crim, LPC
• Diana Isabel Cristancho, OTR/L
• Critical Care Pulmonary & Sleep Assoc. Prof LLP
• Critical Care Pulmonary and Sleep Associates Professional LLP
• Kylee Croasmun, MT

• General Practice Dentistry in Lakewood, CO
• Providers in Lakewood, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.