NPIMap

Organization Active NPI

Metropolitan Dental Care at Parkridge, LLC

  • General Practice Dentistry
  • Lone Tree, CO
National Provider Identifier
1972780666
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5438 Issued in CO
Legal business name
METROPOLITAN DENTAL CARE AT PARKRIDGE, LLC
Practice address
10461 Park Meadows Dr
BLDG 4, Suite 101
Lone Tree, CO 80124
Phone
(303) 534-2626
Fax
(303) 708-1350
NPI assigned
Jan 25, 2008
Last updated
Jan 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Dr. Dawn M White, DDSNPI 1669598678
Title
Owner
Phone
(303) 534-2626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5438 CO Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5451 CO
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 7334 CO
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 8953 CO
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 106277 CO

Addresses

Primary practice location

10461 Park Meadows Dr
BLDG 4, Suite 101
Lone Tree, CO 80124

Mailing address

10461 Park Meadows Dr
BLDG 4, Suite 101
Lone Tree, CO 80124
Phone (303) 534-2626

National Provider Directory

National Provider Directory

Locations

10461 Park Meadows Dr
Ste 101
Lone Tree, CO 80124
Phone (303) 534-2626

Practitioners & affiliated clinicians

Practitioners 3

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": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1972780666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10461 PARK MEADOWS DR",
            "address_2": "BLDG 4, SUITE 101",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-534-2626",
            "fax_number": "303-708-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10461 PARK MEADOWS DR",
            "address_2": "BLDG 4, SUITE 101",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-534-2626",
            "fax_number": "303-708-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN DENTAL CARE AT PARKRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-534-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "5438",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "5451",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7334",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8953",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "106277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.