Organization Active NPI

Retro Dental Highlands, DBD, LLC

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1831675099
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RETRO DENTAL HIGHLANDS, DBD, LLC
Practice address
3025 W 38TH Ave
Denver, CO 80211-2001
Phone
(303) 458-7051
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

Name
Jamin Houser, DDS
Title
Chief Dental Officer
Phone
(719) 322-4949

Specialties & licenses 1

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

Addresses

Primary practice location

3025 W 38TH Ave
Denver, CO 80211-2001

Mailing address

3025 W 38TH Ave
Denver, CO 80211-2001
Phone (303) 458-7051

National Provider Directory

National Provider Directory

Locations

3025 W 38th Ave
Denver, CO 80211
Phone (303) 458-7051

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1831675099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 W 38TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802112001",
            "telephone_number": "303-458-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 W 38TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802112001",
            "telephone_number": "303-458-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETRO DENTAL HIGHLANDS, DBD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "HOUSER",
        "authorized_official_first_name": "JAMIN",
        "authorized_official_title_or_position": "CHIEF DENTAL OFFICER",
        "authorized_official_telephone_number": "719-322-4949",
        "authorized_official_credential": "DDS"
    },
    "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 Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.