Individual provider Active NPI

Lindsey Lee Dortch, D.D.S.

  • General Practice Dentistry
  • Highlands Ranch, CO
National Provider Identifier
1841468329
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9961 Issued in CO
Practice address
3626 E Highlands Ranch Pkwy Unit 107
Highlands Ranch, CO 80126-7885
Phone
(303) 471-0841
NPI assigned
Feb 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9961 CO Primary

Addresses

Primary practice location

3626 E Highlands Ranch Pkwy Unit 107
Highlands Ranch, CO 80126-7885

Mailing address

10276 Arrowhead LN
Parker, CO 80138-6804
Phone (414) 588-9385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160223000149 CO Order and Referring Only - DentistPractitioner - Dentist 9133424583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9961COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Dental Professionals Co PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1841468329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10276 ARROWHEAD LN",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801386804",
            "telephone_number": "414-588-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 E HIGHLANDS RANCH PKWY UNIT 107",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801267885",
            "telephone_number": "303-471-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORTCH",
        "first_name": "LINDSEY",
        "middle_name": "LEE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-18",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.