Hero Dental of Denver PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HERO DENTAL OF DENVER PC

Doing business as

Adventure Dental, Vision and Orthodontics

Practice address

1407 W 84TH Ave Unit B8
Denver, CO 80260-4753

Phone

(720) 214-4745

NPI assigned

Nov 20, 2020

Last updated

Nov 20, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

HERO DENTAL OF DENVER PCAs reported in NPPES

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

Authorized official

Name

Shaun Urbanozo

Title

Credentialing Manager

Phone

(719) 323-2362

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adventure Dental, Vision and Orthodontics Doing business as

Tax ID family

Hero Dental of Denver PC2 organizations share this tax ID, including this one

Part of

Hero Dental of Denver PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hero Dental of Denver PC

  dba Adventure Dental, Vision and Orthodontics

  • Dentist
  • Denver, CO
  • NPI 1972744548
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Hero Dental of Denver PC

  dba Adventure Dental, Vision and Orthodontics

  • Dentist
  • Denver, CO
  • NPI 1972744548
  NPPES parent name

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1750984779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 W 84TH AVE UNIT B8",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802604753",
            "telephone_number": "720-214-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERO DENTAL OF DENVER PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERO DENTAL OF DENVER PC",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "URBANOZO",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-323-2362"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50132741",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventure Dental, Vision and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saahary Hernandez
• Selyn Elise Hernandez
• Vannesa Hernandez
• Yasmine Hernandez
• Sheryl J Herner, PHARM.D.
• Hero Dental of Denver PC (Adventure Dental, Vision and Orthodontics)
• Hero Dental of South Denver PC (Adventure Dental and Vision)
• Hero Dental of South Denver PC (Adventure Dental)
• Hero Vision of Denver LLC (Adventure Vision)
• Hero Vision of Denver LLC (Adventure Dental Vision and Orthondontics)

• General Practice Dentistry in Denver, CO
• Providers in Denver, 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 20, 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.