Organization Active NPI

Lake Family Dental

  • General Practice Dentistry
  • Littleton, CO
National Provider Identifier
1821659608
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAKE FAMILY DENTAL
Practice address
8155 Piney River Ave Ste 220
Littleton, CO 80125-8730
Phone
(303) 346-8000
Fax
(303) 223-9295
NPI assigned
Jun 24, 2019
Last updated
Jun 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Matthew Lake, DMD
Title
Owner/ Dentist
Phone
(303) 346-8000

Specialties & licenses 1

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

Addresses

Primary practice location

8155 Piney River Ave Ste 220
Littleton, CO 80125-8730

Mailing address

8155 Piney River Ave Ste 220
Littleton, CO 80125-8730
Phone (303) 346-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@mylakefamilydental.com

National Provider Directory

National Provider Directory

Locations

8155 Piney River Ave
Ste 220
Littleton, CO 80125
Phone (303) 346-8000

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1821659608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8155 PINEY RIVER AVE STE 220",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801258730",
            "telephone_number": "303-346-8000",
            "fax_number": "303-223-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8155 PINEY RIVER AVE STE 220",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801258730",
            "telephone_number": "303-346-8000",
            "fax_number": "303-223-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "303-346-8000",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@mylakefamilydental.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted Email",
            "address_1": "8155 Piney River Ave Ste 220",
            "city": "Littleton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801258730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.