NPIMap

Organization Active NPI

Southbridge Family Dentistry P.C.

  • General Practice Dentistry
  • Littleton, CO
National Provider Identifier
1871673913
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SOUTHBRIDGE FAMILY DENTISTRY P.C.
Practice address
7889 S Lincoln CT
Suite 202
Littleton, CO 80122-2651
Phone
(303) 798-4967
Fax
(303) 798-2403
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott A Kissinger, DDSNPI 1518980655
Title
Vice President
Phone
(303) 798-4967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7889 S Lincoln CT
Suite 202
Littleton, CO 80122-2651

Mailing address

7889 S Lincoln CT
Suite 202
Littleton, CO 80122-2651
Phone (303) 798-4967

National Provider Directory

National Provider Directory

Locations

7889 S Lincoln Ct
Ste 202
Littleton, CO 80122
Phone (303) 798-4967

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871673913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7889 S LINCOLN CT",
            "address_2": "SUITE 202",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222651",
            "telephone_number": "303-798-4967",
            "fax_number": "303-798-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7889 S LINCOLN CT",
            "address_2": "SUITE 202",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222651",
            "telephone_number": "303-798-4967",
            "fax_number": "303-798-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBRIDGE FAMILY DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KISSINGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "303-798-4967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.