Active NPI
Simko Pediatric Dentistry of Colorado, PC
- Pediatric Dentistry
- Denver, CO
National Provider Identifier
1871163840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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, PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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 PC
- 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.
-
- Pediatric Dentistry
- Centennial, CO
- NPI 1033707773
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.
-
- Pediatric Dentistry
- Centennial, CO
- NPI 1033707773
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.