Organization Active NPI

Convenient Periodontics Wheat Ridge PLLC

  • Periodontics
  • Wheat Ridge, CO
National Provider Identifier
1760287718
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
CONVENIENT PERIODONTICS WHEAT RIDGE PLLC
Practice address
4855 Ward Rd Ste 100
Wheat Ridge, CO 80033-1952
Phone
(303) 351-1022
NPI assigned
Feb 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Carly Woods
Title
Coo
Phone
(720) 280-6584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

4855 Ward Rd Ste 100
Wheat Ridge, CO 80033-1952

Mailing address

4855 Ward Rd Ste 100
Wheat Ridge, CO 80033-1952
Phone (303) 351-1022

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": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1760287718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 WARD RD STE 100",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331952",
            "telephone_number": "303-351-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 WARD RD STE 100",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331952",
            "telephone_number": "303-351-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT PERIODONTICS WHEAT RIDGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "720-280-6584"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.