Creekside Smiles of Cherry Creek, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

8201 Issued in CO

Legal business name

CREEKSIDE SMILES OF CHERRY CREEK, PLLC

Practice address

155 Cook St
Ste #141
Denver, CO 80206-5325

Phone

(303) 329-0505

Fax

(303) 329-8161

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Tari Noreen Marcotte

Title

Office Manager

Phone

(970) 241-4800

Specialties & licenses 1

Addresses

Practitioners 1

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

• Willie Johnson, RDH

  • Dental Hygienist
  • Denver, CO
  • NPI 1235346396
  NPD (past)

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1780839696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 COOK ST",
            "address_2": "STE #141",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065325",
            "telephone_number": "303-329-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 COOK ST",
            "address_2": "STE #141",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065325",
            "telephone_number": "303-329-0505",
            "fax_number": "303-329-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE SMILES OF CHERRY CREEK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "MARCOTTE",
        "authorized_official_first_name": "TARI",
        "authorized_official_middle_name": "NOREEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-241-4800"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "8201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Unbound Counseling LLC
• Brandon David Credeur, D.C.
• Christophany Marie Creed, D.C.
• Brittany Creedon
• Creekside Endocrine Associates, PC
• Courtney Cregan
• Jodian Creighton
• Susan Creighton, MD
• Brenda Creitz, CRNA
• Jennifer Ilissa Crenshaw, PA

• Dentist in Denver, CO
• Providers in Denver, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.