Active NPI
Happy 5 PLLC
- Pediatric Dentistry
- Longmont, CO
National Provider Identifier
1922752195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Accounts@TreasuredTeeth.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.