NPIMap

Marketplace Dental Group and Orthodontics, LLP

Organization Active NPI General Practice Dentistry · Superior, CO

NPI 1750529293 · NPPES record last updated Jan 21, 2009

Key facts

NPI
1750529293
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
MARKETPLACE DENTAL GROUP AND ORTHODONTICS, LLP
Practice address
306 Center Drive
Superior, CO 80027
Phone
(303) 499-9555
NPI assigned
Jan 21, 2009
Organization subpart
No

Authorized official

Name
Dr. Charles F Rodgers, DDS
Title
Owner Doctor
Phone
(303) 499-9555

Practitioners 10

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

National Provider Directory

Locations

306 Center Dr
Superior, CO 80027
Phone (303) 449-9555

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

306 Center Drive
Superior, CO 80027

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 368-2077

Other names

  • MARKETPLACE DENTAL GROUP AND ORTHODONTICS Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 21, 2009.

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1750529293",
    "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": "306 CENTER DRIVE",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "80027",
            "telephone_number": "303-499-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKETPLACE DENTAL GROUP AND ORTHODONTICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "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": "303-499-9555",
        "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": "MARKETPLACE DENTAL GROUP AND ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Superior, CO

All providers in Superior, CO · General Practice Dentistry in Colorado

Sources for this page

Verify at the official NPI Registry.