Organization Active NPI

Bittersweet Prof.LLC

Doing business as Black Mountain Family Dentistry

  • Dental Clinic/Center
  • Denver, CO
National Provider Identifier
1871973776
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
9926 Issued in CO
Legal business name
BITTERSWEET PROF.LLC
Doing business as
Black Mountain Family Dentistry
Practice address
1540 S Holly St
Denver, CO 80222-3978
Phone
(303) 757-5885
NPI assigned
Jun 4, 2015
Last updated
Jun 4, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
BITTERSWEET PROF.LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Dr. Andreea Torok, DDS
Title
Dentist/Owner
Phone
(720) 244-7172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 9926 CO Primary

Addresses

Primary practice location

1540 S Holly St
Denver, CO 80222-3978

Mailing address

1540 S Holly St
Denver, CO 80222-3978
Phone (303) 757-5885

Other names 1

  • Black Mountain Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Part of
Bittersweet Profllc

Locations

1540 S Holly St
Denver, CO 80222
Phone (303) 757-5885

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1871973776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 S HOLLY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223978",
            "telephone_number": "303-757-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 S HOLLY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223978",
            "telephone_number": "303-757-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BITTERSWEET PROF.LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BITTERSWEET PROF.LLC",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "TOROK",
        "authorized_official_first_name": "ANDREEA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "720-244-7172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "9926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Mountain Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 4, 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.