NPIMap

Organization Active NPI

Larimer Square Professional Dental Group LLC

Doing business as Comfort Dental Larimer Square

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1952809964
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LARIMER SQUARE PROFESSIONAL DENTAL GROUP LLC
Doing business as
Comfort Dental Larimer Square
Practice address
1512 Larimer St
Denver, CO 80202-1610
Phone
(303) 617-8400
NPI assigned
Jan 24, 2018
Last updated
Jan 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
James LiuNPI 1427074376
Title
Partner/Owner
Phone
(303) 862-0297

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1512 Larimer St
Denver, CO 80202-1610

Mailing address

16981 E Quincy Ave # D1-D3
Aurora, CO 80015-2769
Phone (303) 617-8400

Other names 1

  • Comfort Dental Larimer Square Doing business as

National Provider Directory

National Provider Directory

Locations

16981 E Quincy Ave
#D1D3
Aurora, CO 80015
Phone (303) 617-8400

1512 Larimer St
Denver, CO 80202
Phone (303) 534-1005

Practitioners & affiliated clinicians

Practitioners 6

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": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1952809964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16981 E QUINCY AVE # D1-D3",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152769",
            "telephone_number": "303-617-8400",
            "fax_number": "303-617-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 LARIMER ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021610",
            "telephone_number": "303-617-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARIMER SQUARE PROFESSIONAL DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "303-862-0297"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Larimer Square",
            "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 Jan 24, 2018; 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.