NPIMap

Organization Active NPI

Broadway Family Dentistry & Implants ,PLLC

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1982472361
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BROADWAY FAMILY DENTISTRY & IMPLANTS ,PLLC
Doing business as
Broadway Family Dentistry & Implants
Practice address
1573 S Broadway
Denver, CO 80210-2607
Phone
(303) 333-1844
NPI assigned
Dec 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Dr. Cassio Castro, DMDNPI 1689961765
Title
Dentist Owner
Phone
(954) 290-2396

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1573 S Broadway
Denver, CO 80210-2607

Mailing address

1573 S Broadway
Denver, CO 80210-2607
Phone (303) 333-1844

Other names 1

  • Broadway Family Dentistry & Implants Doing business as

National Provider Directory

National Provider Directory

Locations

1573 S Broadway
Denver, CO 80210
Phone (303) 333-1844

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1982472361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 S BROADWAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102607",
            "telephone_number": "303-333-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 S BROADWAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102607",
            "telephone_number": "303-333-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY FAMILY DENTISTRY & IMPLANTS ,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "CASSIO",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "954-290-2396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "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": "Broadway Family Dentistry & Implants",
            "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 Dec 15, 2023; 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.