NPIMap

Organization Active NPI

Modern Dental Professionals Co PC

Doing business as Bright Now Dental Aurora

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1902287550
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105734 Issued in CO
Legal business name
MODERN DENTAL PROFESSIONALS CO PC
Doing business as
Bright Now Dental Aurora
Practice address
3551 S Tower Rd Unit C
Aurora, CO 80013-3564
Phone
(303) 400-3669
Fax
(303) 400-3670
NPI assigned
Jun 9, 2015
Organization subpart
Yes
Parent organization
MODERN DENTAL PROFESSIONALS CO PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Dr. Craig Mellor, DDS
Title
PC Owner
Phone
(303) 400-3670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 105734 CO Primary

Addresses

Primary practice location

3551 S Tower Rd Unit C
Aurora, CO 80013-3564

Mailing address

PO Box 25153
Santa Ana, CA 92799-5153
Phone (714) 578-6358

Other names 1

  • Bright Now Dental Aurora Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Modern Dental Profesionals Co PC20 organizations share this tax ID, including this one
Part of
Modern Dental Profesionals Co PC

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

3551 S Tower Rd
Unit C
Aurora, CO 80013
Phone (303) 400-3669

Practitioners & affiliated clinicians

Practitioners 3

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": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1902287550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25153",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927995153",
            "telephone_number": "714-578-6358",
            "fax_number": "949-242-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 S TOWER RD UNIT C",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800133564",
            "telephone_number": "303-400-3669",
            "fax_number": "303-400-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL PROFESSIONALS CO PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MODERN DENTAL PROFESSIONALS CO PC",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "MELLOR",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PC OWNER",
        "authorized_official_telephone_number": "303-400-3670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "105734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Now Dental Aurora",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.