Organization Active NPI

Appletree Dental Professional LLC

  • General Practice Dentistry
  • Thornton, CO
National Provider Identifier
1811245871
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
APPLETREE DENTAL PROFESSIONAL LLC
Practice address
2800 E 136TH Ave
Thornton, CO 80241-3417
Phone
(720) 872-2892
Fax
(720) 872-2894
NPI assigned
Aug 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Authorized official

Name
Dr. Erica Anne Derby, D.D.S
Title
Owner
Phone
(720) 872-2892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2800 E 136TH Ave
Thornton, CO 80241-3417

Mailing address

2800 E 136TH Ave
Thornton, CO 80241-3417
Phone (720) 872-2892

National Provider Directory

National Provider Directory
Tax ID family
Appletree Dental Professional LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1811245871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E 136TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413417",
            "telephone_number": "720-872-2892",
            "fax_number": "720-872-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E 136TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413417",
            "telephone_number": "720-872-2892",
            "fax_number": "720-872-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLETREE DENTAL PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "DERBY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-872-2892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.