Prairie Hawk Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10402 Issued in CO

Legal business name

PRAIRIE HAWK DENTAL PLLC

Practice address

3993 Limelight Ave.
Unit E
Castle Rock, CO 80109

Phone

(720) 515-1801

NPI assigned

Nov 20, 2012

Last updated

Aug 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Aaron Pierce Goodman, D.D.S.NPI 1174712152

Title

President

Phone

(720) 515-1801

Specialties & licenses 1

Addresses

Locations

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.

• Aaron Pierce Goodman, D.D.S.

  • General Practice Dentistry
  • Castle Rock, CO
  • NPI 1174712152
  NPD (past) Authorized official

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1942544507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3993 LIMELIGHT AVE.",
            "address_2": "UNIT E",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80109",
            "telephone_number": "720-515-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3993 LIMELIGHT AVE.",
            "address_2": "UNIT E",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80109",
            "telephone_number": "720-515-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE HAWK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "PIERCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-515-1801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Positive Outcomes LLC
• Heidi Postier, RN, IBCLC
• Madison Potter
• Poudre Valley Medical Group, LLC (UCHealth Medical Group)
• Cameron Pourhassanian
• Prairie Hawk Orthodontics, PC
• Angela Prast, MA, LPCC
• Dainara Michelle Prast, DOT R/L
• Premier Mental Health Healing Pathways
• Premier Mental Health Healing Pathways

• General Practice Dentistry in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.