Organization Active NPI

Happy 5 PLLC

  • Pediatric Dentistry
  • Longmont, CO
National Provider Identifier
1922752195
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
HAPPY 5 PLLC
Practice address
1930 Main St
Longmont, CO 80501-1984
Phone
(720) 526-6936
NPI assigned
Feb 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Derren Tippets, DMD
Title
Owner
Phone
(970) 901-1889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1930 Main St
Longmont, CO 80501-1984

Mailing address

1930 Main St
Longmont, CO 80501-1984
Phone (720) 526-6936

Other names 1

  • My Pediatric Dentist Longmont Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Accounts@TreasuredTeeth.com Direct

National Provider Directory

National Provider Directory

Locations

1930 Main St
Longmont, CO 80501
Phone (720) 526-6936

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1922752195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MAIN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011984",
            "telephone_number": "720-526-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MAIN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011984",
            "telephone_number": "720-526-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY 5 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "TIPPETS",
        "authorized_official_first_name": "DERREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-901-1889",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Accounts@TreasuredTeeth.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1930 Main St",
            "city": "Longmont",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805011984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "My Pediatric Dentist Longmont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.