Blue Mesa Dentistry at Southglenn

Primary specialty

DentistTaxonomy code 122300000X

License

6372 Issued in CO

Legal business name

BLUE MESA DENTISTRY AT SOUTHGLENN

Practice address

2001 E Easter Ave
#200
Centennial, CO 80122

Phone

(303) 703-4544

Fax

(303) 703-3610

NPI assigned

Jan 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marissa Anne Nicholson

Title

Office Manager

Phone

(303) 703-4544

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margarita Aleksanyan, DDS

  • Dentist
  • Centennial, CO
  • NPI 1902075724
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881747319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 E EASTER AVE",
            "address_2": "#200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80122",
            "telephone_number": "303-703-4544",
            "fax_number": "303-703-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E EASTER AVE",
            "address_2": "#200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80122",
            "telephone_number": "303-703-4544",
            "fax_number": "303-703-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MESA DENTISTRY AT SOUTHGLENN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-703-4544"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "6372",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "6619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Blessing, DPT
• Bailey Bloomfield
• John Holt Bloor, M.D.
• Blue Bear Services LLC (101 Mobility)
• Blue Crown Laboratories
• Bluebell Homecare LLC
• Jillian Blueford, PHD, LPC, NCC, CT
• Donna Lynn Blythe, CPM
• Brittany Lynn Bociung
• Lorraine Kaye Bockman, LCSW, LAC

• Dentist in Centennial, CO
• Providers in Centennial, CO by specialty
• Dentist in Colorado

• 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.