Organization Active NPI

Cody Dental Group

  • Dentist
  • Denver, CO
National Provider Identifier
1972647303
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CODY DENTAL GROUP
Practice address
4301 E Amherst Ave
Denver, CO 80222-6790
Phone
(303) 758-5858
Fax
(303) 758-6753
NPI assigned
Feb 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Mr. Wessely K Chambers, MBA
Title
Executive Director
Phone
(303) 758-5858

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3514 CO
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3767 CO
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 486 CO
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 546 CO
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 7996 CO
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 8359 CO
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 487 CO
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6773 CO
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 7077 CO

Addresses

Primary practice location

4301 E Amherst Ave
Denver, CO 80222-6790

Mailing address

4301 E Amherst Ave
Denver, CO 80222-6790
Phone (303) 758-5858

National Provider Directory

National Provider Directory

Locations

4301 E Amherst Ave
Denver, CO 80222
Phone (303) 758-5858

NPI Registry JSON

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1972647303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 E AMHERST AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226790",
            "telephone_number": "303-758-5858",
            "fax_number": "303-758-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 E AMHERST AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226790",
            "telephone_number": "303-758-5858",
            "fax_number": "303-758-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-18",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "WESSELY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-758-5858",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "3514",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "3767",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "486",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "546",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7996",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8359",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "487",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6773",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "7077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 17, 2008; 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.