BDD West PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9350 Issued in CO

Legal business name

BDD WEST PC

Practice address

905 W 124TH Ave
Suite 130
Westminster, CO 80234-1715

Phone

(303) 920-4900

NPI assigned

Nov 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John Montoya

Title

Owner/President

Phone

(720) 548-0480

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1821540337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W 124TH AVE",
            "address_2": "SUITE 130",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802341715",
            "telephone_number": "303-920-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W 124TH AVE",
            "address_2": "SUITE 130",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802341715",
            "telephone_number": "303-920-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDD WEST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "720-548-0480",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Westminster, CO
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• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.