Organization Active NPI

North Denver Dental Partners, Prof. LLP

Doing business as Comfort Dental Denver

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1942415773
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NORTH DENVER DENTAL PARTNERS, PROF. LLP
Doing business as
Comfort Dental Denver
Practice address
4450 W 38TH Ave
Unit 110
Denver, CO 80212-2077
Phone
(303) 455-2273
Fax
(303) 455-6053
NPI assigned
May 14, 2007
Last updated
Sep 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Dr. Evan Gaubatz, DMDNPI 1013342476
Title
Owner, Dentist
Phone
(303) 455-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4450 W 38TH Ave
Unit 110
Denver, CO 80212-2077

Mailing address

4450 W 38TH Ave
Unit 110
Denver, CO 80212-2077
Phone (303) 455-2273

Other identifiers 1

IdentifierTypeStateIssuer
04010971MedicaidCO

Other names 1

  • Comfort Dental Denver Doing business as

National Provider Directory

National Provider Directory

Locations

4450 W 38th Ave
Ste 110
Denver, CO 80212
Phone (303) 455-2273

Practitioners & affiliated clinicians

Practitioners 2

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1942415773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 W 38TH AVE",
            "address_2": "UNIT 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122077",
            "telephone_number": "303-455-2273",
            "fax_number": "303-455-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 W 38TH AVE",
            "address_2": "UNIT 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122077",
            "telephone_number": "303-455-2273",
            "fax_number": "303-455-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DENVER DENTAL PARTNERS, PROF. LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "GAUBATZ",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "303-455-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04010971",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Denver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.