NPIMap

Organization Active NPI

Darrell L Haveners Jr DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Littleton, CO
National Provider Identifier
1942382999
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5118 Issued in CO
Legal business name
DARRELL L HAVENERS JR DDS PC
Doing business as
Highlands Ranch Orthodontics PC
Practice address
1420 W Canal CT
Suite 200
Littleton, CO 80120
Phone
(303) 791-2021
Fax
(303) 791-0327
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Darrell L Havener Jr., DDSNPI 1437366960
Title
President Ceo
Phone
(303) 791-2021

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 5118 CO Primary

Addresses

Primary practice location

1420 W Canal CT
Suite 200
Littleton, CO 80120

Mailing address

1420 W Canal CT
Suite 200
Littleton, CO 80120
Phone (303) 791-2021

Other names 1

  • Highlands Ranch Orthodontics PC Doing business as

National Provider Directory

National Provider Directory

Locations

1420 W Canal Ct
Ste 200
Littleton, CO 80120
Phone (303) 791-2021

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942382999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W CANAL CT",
            "address_2": "SUITE 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80120",
            "telephone_number": "303-791-2021",
            "fax_number": "303-791-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W CANAL CT",
            "address_2": "SUITE 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80120",
            "telephone_number": "303-791-2021",
            "fax_number": "303-791-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRELL L HAVENERS JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAVENER",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "303-791-2021",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "5118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands Ranch Orthodontics PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.