Parker Dental Management, LLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

PARKER DENTAL MANAGEMENT, LLC

Practice address

11005 S Parker Rd
Parker, CO 80134-7441

Phone

(720) 522-2000

NPI assigned

Jul 13, 2022

Last updated

Jul 13, 2022By 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

Ron Bergloff

Title

Admin

Phone

(720) 431-6060

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1902530116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 S PARKER RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347441",
            "telephone_number": "720-522-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 S PARKER RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347441",
            "telephone_number": "720-522-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10371 Parkglenn Way Ste 250",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801383871",
            "country_code": "US",
            "telephone_number": "303-840-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARKER DENTAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "BERGLOFF",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "720-431-6060"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pari Dental Parker PLLC
• Parijatham Dental PLLC
• Hong Yeon Park, RN
• Parker - Lincoln Medical Center, LLC (UCHealth Emergency Room)
• Parker Counseling Services (Parker Counseling & Education Services)
• Parker Dentistry and Orthodontics, LLP (Parker Dentistry)
• Parker Ekg Interpretation LLP
• Parker Integrated Medicine PC
• Parker Iom LLC
• Parker Kidney Center LLC

• Prosthodontics in Parker, CO
• Providers in Parker, CO by specialty
• Prosthodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.