South Broadway Dental Care

Primary specialty

DentistTaxonomy code 122300000X

License

10287 Issued in CO

Legal business name

SOUTH BROADWAY DENTAL CARE

Practice address

7261 S Broadway Ste 102
Littleton, CO 80122-8018

Phone

(303) 798-2305

NPI assigned

Sep 7, 2016

Last updated

Sep 7, 2016By 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. Daniel L Larsen, DDS

Title

Dentist/ Vice President

Phone

(303) 798-2305

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1942757976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 S BROADWAY STE 102",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801228018",
            "telephone_number": "303-798-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 S BROADWAY STE 102",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801228018",
            "telephone_number": "303-798-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BROADWAY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST/ VICE PRESIDENT",
        "authorized_official_telephone_number": "303-798-2305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "10287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sotoodeh Dental, PLLC
• Petra Soule, D.O.
• Sound Mind Colorado PLLC
• Jennifer Rebecca Sousa, AGNP-C
• Laura A Souslian, M.D.
• South Denver Cardiology Assoc
• South Denver Medicine Associates PC (Osteoporosis Center of Highlands Ranch)
• South Denver Musculoskeletal Surgical Partners, LLC (South Denver Surgery Center)
• South Denver OB/GYN, PC
• South Denver Obstetrics & Gynecology PC (South Denver OBGYN & Midwives)

• Dentist in Littleton, CO
• Providers in Littleton, CO by specialty
• Dentist in Colorado

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