Organization Active NPI

David P Micklin PC

  • Dental Clinic/Center
  • Glendale, CO
National Provider Identifier
1831547264
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DAVID P MICKLIN PC
Practice address
400 S Colorado Blvd
Suite 440
Glendale, CO 80246-1253
Phone
(303) 399-1650
Fax
(303) 399-7310
NPI assigned
May 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Davis P Micklin
Title
Owner
Phone
(303) 399-1650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

400 S Colorado Blvd
Suite 440
Glendale, CO 80246-1253

Mailing address

400 S Colorado Blvd
Suite 440
Glendale, CO 80246-1253

National Provider Directory

National Provider Directory

Locations

400 S Colorado Blvd
Ste 440
Glendale, CO 80246
Phone (303) 399-1650

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1831547264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S COLORADO BLVD",
            "address_2": "SUITE 440",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S COLORADO BLVD",
            "address_2": "SUITE 440",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461253",
            "telephone_number": "303-399-1650",
            "fax_number": "303-399-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P MICKLIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "MICKLIN",
        "authorized_official_first_name": "DAVIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-399-1650"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.