NPIMap

Organization Active NPI

Dental Health Professionals of Colorado

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1982189817
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL HEALTH PROFESSIONALS OF COLORADO
Practice address
3200 E Cherry Creek South Dr Ste 135
Denver, CO 80209-3246
Phone
(303) 355-6294
NPI assigned
Sep 26, 2018
Organization subpart
Yes
Parent organization
DENTAL HEALTH PROFESSIONALS OF COLORADOAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Cassandra Petersen
Title
Credentialing Team Lead
Phone
(217) 540-8972

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Professionals of Colorado3 organizations share this tax ID, including this one
Part of
Dental Health Professionals of Colorado

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3200 E Cherry Creek South Dr
Ste 135
Denver, CO 80209
Phone (303) 355-6294

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

NPPES NPI Registry

Primary practice location

3200 E Cherry Creek South Dr Ste 135
Denver, CO 80209-3246

Mailing address

3200 E Cherry Creek South Dr Ste 135
Denver, CO 80209-3246
Phone (303) 355-6294

Other names 1

NPPES NPI Registry
  • Aesthetic Designs of Cherry Creek Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2018.

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1982189817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E CHERRY CREEK SOUTH DR STE 135",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093246",
            "telephone_number": "303-355-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 E CHERRY CREEK SOUTH DR STE 135",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093246",
            "telephone_number": "303-355-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH PROFESSIONALS OF COLORADO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL HEALTH PROFESSIONALS OF COLORADO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "CREDENTIALING TEAM LEAD",
        "authorized_official_telephone_number": "217-540-8972"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Designs of Cherry Creek",
            "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 Sep 26, 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.