Active NPI
My Dentist Inc.
- General Practice Dentistry
- Thornton, CO
National Provider Identifier
1861663668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10-4900
- Legal business name
- MY DENTIST INC.
- Practice address
- 3955 E 120TH Ave Ste B
Thornton, CO 80233-2075 - Phone
- (303) 255-4855
- Fax
- (303) 339-7912
- NPI assigned
- Mar 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory Krainik, DDS
- Title
- Owner
- Phone
- (303) 255-4855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10-4900 | CO | Primary |
Addresses
Primary practice location
3955 E 120TH Ave Ste B
Thornton, CO 80233-2075
Mailing address
3955 E 120TH Ave Ste B
Thornton, CO 80233-2075
Phone (303) 255-4855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4947T | Other | NV | STATE LICSENCE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205884800000",
"number": "1861663668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3955 E 120TH AVE STE B",
"city": "THORNTON",
"state": "CO",
"postal_code": "802332075",
"telephone_number": "303-255-4855",
"fax_number": "303-339-7912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3955 E 120TH AVE STE B",
"city": "THORNTON",
"state": "CO",
"postal_code": "802332075",
"telephone_number": "303-255-4855",
"fax_number": "303-339-7912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY DENTIST INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-19",
"last_updated": "2008-03-19",
"status": "A",
"authorized_official_last_name": "KRAINIK",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-255-4855",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "10-4900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICSENCE",
"identifier": "4947T",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
- Nathan Gray Murphey, AGACNP
- Ashley Marie Murphy
- Wittmann Murphy, DO
- Musculoskeletal Surgery Center of Colorado
- Rao Rashid Mushtaq, MD
- My Local Colorado Dental Practice, LLC
- My Local Colorado Dental Practice, LLC
- My Physical Therapist Inc
- Myeyedr Optometry of Colorado PC
- Myeyedr Optometry of Colorado PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.