Organization Active NPI

Simko Pediatric Dentistry of Colorado, PC

  • Pediatric Dentistry
  • Denver, CO
National Provider Identifier
1871163840
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SIMKO PEDIATRIC DENTISTRY OF COLORADO, PC
Practice address
6850 E Hampden Ave Ste 100
Denver, CO 80224-3024
Phone
(303) 758-6057
NPI assigned
Jun 30, 2021
Organization subpart
Yes
Parent organization
SIMKO PEDIATRIC DENTISTRY OF COLORADO, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Jeanette Goodlet
Title
Office Manager
Phone
(715) 205-0755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

6850 E Hampden Ave Ste 100
Denver, CO 80224-3024

Mailing address

3902 Oakwood Hills Pkwy
Eau Claire, WI 54701-7780
Phone (715) 205-0755

National Provider Directory

National Provider Directory
Tax ID family
Simko Pediatric Dentistry of Colorado PC2 organizations share this tax ID, including this one
Part of
Simko Pediatric Dentistry of Colorado PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6850 E Hampden Ave
Ste 100
Denver, CO 80224
Phone (303) 758-6057

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1871163840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 OAKWOOD HILLS PKWY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017780",
            "telephone_number": "715-205-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 E HAMPDEN AVE STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243024",
            "telephone_number": "303-758-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMKO PEDIATRIC DENTISTRY OF COLORADO, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMKO PEDIATRIC DENTISTRY OF COLORADO, PC",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "GOODLET",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-205-0755"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "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 Jun 30, 2021; 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.