NPIMap

Organization Active NPI

Panorama Dental Professional LLC

Doing business as Panorama Dental

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1851776058
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104262 Issued in CO
Legal business name
PANORAMA DENTAL PROFESSIONAL LLC
Doing business as
Panorama Dental
Practice address
3095 S Parker Rd Ste 150
Aurora, CO 80014-2917
Phone
(303) 755-8388
NPI assigned
Jul 29, 2015
Last updated
Jul 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Barry WohlgemuthNPI 1275534257
Title
Dentist
Phone
(303) 755-8388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 104262 CO
General Practice Dentistry 1223G0001X 104262 CO Primary
Periodontics 1223P0300X 104262 CO
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 104262 CO
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 104262 CO

Addresses

Primary practice location

3095 S Parker Rd Ste 150
Aurora, CO 80014-2917

Mailing address

3095 S Parker Rd Ste 150
Aurora, CO 80014-2917

Other identifiers 1

IdentifierTypeStateIssuer
104262OtherCOLICENSES

Other names 1

  • Panorama Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1851776058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 S PARKER RD STE 150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 S PARKER RD STE 150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142917",
            "telephone_number": "303-755-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANORAMA DENTAL PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "WOHLGEMUTH",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "303-755-8388"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "104262",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "104262",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "104262",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "104262",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "104262",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSES",
            "identifier": "104262",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panorama Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.