Active NPI
Gordon Frank Calhoun, D.D.S.
- Dentist
- Centennial, CO
National Provider Identifier
1952526931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6072
- Practice address
- 6979 S Holly Cir
Ste. #260
Centennial, CO 80112-1577 - Phone
- (303) 721-7214
- Fax
- (303) 721-7280
- NPI assigned
- Apr 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6072 | CO | Primary |
Addresses
Primary practice location
6979 S Holly Cir
Ste. #260
Centennial, CO 80112-1577
Mailing address
6979 S Holly Cir
Ste. #260
Centennial, CO 80112-1577
Phone (303) 721-7214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6072 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearl & Jade PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952526931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6979 S HOLLY CIR",
"address_2": "STE. #260",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121577",
"telephone_number": "303-721-7214",
"fax_number": "303-721-7280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6979 S HOLLY CIR",
"address_2": "STE. #260",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121577",
"telephone_number": "303-721-7214",
"fax_number": "303-721-7280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALHOUN",
"first_name": "GORDON",
"middle_name": "FRANK",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "6072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.