Main Street Dental, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

104888 Issued in CO

Legal business name

MAIN STREET DENTAL, PC

Practice address

6240 S Main St Ste 295
Aurora, CO 80016-5100

Phone

(303) 627-5460

NPI assigned

Jun 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Brian Langenfeld, DDS

Title

Dentist

Phone

(303) 627-5460

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1962884841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 S MAIN ST STE 295",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165100",
            "telephone_number": "303-627-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 S MAIN ST STE 295",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165100",
            "telephone_number": "303-627-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "LANGENFELD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "303-627-5460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "104888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Xueyun Mai, D.M.D
• Lindsay M Maier
• Anne Mailhot, PA
• Main Street Dental Care PC
• Main Street Dental, PC
• Robert Clarke Maiocco, M.D.
• Allison Anne Maisells
• Diana Maize, CNM
• Kelly Maize
• Lila Virginia Majano-Carroll, LCSW

• Dental Clinic/Center in Aurora, CO
• Providers in Aurora, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.