Active NPI
Mountain Dental Anesthesia LLC
- General Practice Dentistry
- Broomfield, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MOUNTAIN DENTAL ANESTHESIA LLC
- Practice address
- 11001 W 120TH Ave Ste 400
Broomfield, CO 80021-3493 - Phone
- (317) 459-0738
- NPI assigned
- Nov 5, 2019
- Last updated
- Nov 5, 2019
- Organization subpart
- Yes
- Parent organization
- MOUNTAIN DENTAL LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Russell Yancey, DDS
- Title
- Dentist Anesthesiologist
- Phone
- (317) 459-0738
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
11001 W 120TH Ave Ste 400
Broomfield, CO 80021-3493
Mailing address
7787 W 106TH Ave
Westminster, CO 80021-3951
Phone (317) 459-0738
National Provider Directory
National Provider Directory- Tax ID family
- Mountain Dental Anesthesia LLC
- Part of
- Mountain Dental Anesthesia LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Sunshine Dental Anesthesia
- Dental Anesthesiology
- Lone Tree, CO
- NPI 1265101356
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572912000000",
"number": "1922642743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7787 W 106TH AVE",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800213951",
"telephone_number": "317-459-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11001 W 120TH AVE STE 400",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800213493",
"telephone_number": "317-459-0738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN DENTAL ANESTHESIA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MOUNTAIN DENTAL LLC",
"enumeration_date": "2019-11-05",
"last_updated": "2019-11-05",
"status": "A",
"authorized_official_last_name": "YANCEY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "RUSSELL",
"authorized_official_title_or_position": "DENTIST ANESTHESIOLOGIST",
"authorized_official_telephone_number": "317-459-0738",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
- Michael Moro, PHARMD
- Evelyn Cecelia Morrill, R.N., B.S.N., P.H.N.
- Mark Verdayne Mosby, CNIM
- Arianna Moskovitz
- Motion Is Lotion PC
- Mountain Dental PC (Mountain Dental)
- Mountain Kids OT LLC
- Mountain Range Chiropractic LLC
- Mountain Sleep Diagnostics, Inc (Professional Sleep Services)
- Mountainaire Dentistry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.