Organization Active NPI

Egert-Kreider Dental

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1871992404
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EGERT-KREIDER DENTAL
Practice address
3955 E. Expostition Ave
Suite 312
Denver, CO 80209
Phone
(303) 744-3636
Fax
(303) 744-3724
NPI assigned
Aug 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Mr. Terry Egert, DDSNPI 1891755013
Title
Co-Owner
Phone
(303) 744-3636

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X CO
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X CO Primary

Addresses

Primary practice location

3955 E. Expostition Ave
Suite 312
Denver, CO 80209

Mailing address

3955 E. Expostition Ave
Suite 312
Denver, CO 80209
Phone (303) 744-3636

National Provider Directory

National Provider Directory

Locations

3955 E Exposition Ave
Ste 312
Denver, CO 80209
Phone (303) 744-3636

Practitioners & affiliated clinicians

Practitioners 2

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": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1871992404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 E. EXPOSTITION AVE",
            "address_2": "SUITE 312",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80209",
            "telephone_number": "303-744-3636",
            "fax_number": "303-744-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 E. EXPOSTITION AVE",
            "address_2": "SUITE 312",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80209",
            "telephone_number": "303-744-3636",
            "fax_number": "303-744-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGERT-KREIDER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "EGERT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "303-744-3636",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "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 Aug 20, 2014; 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.