CREEKSIDE ENDODONTICS, LLC (NPI# 1144608282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144608282 |
| Entity Type | Organization |
| Organization Name | CREEKSIDE ENDODONTICS, LLC |
| Practice Address |
10450 Park Meadows Dr Suite 306 Lone Tree CO 80124-5529 |
| Practice Telephone | 3035249343 |
| Mailing Telephone | 3035249343 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |
| Authorized Official Name | ANDREW RICHARD STUBBS ()WNER) |
| Authorized Official Telephone | 3035944621 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DEN10252 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANDREW STUBBS NPI NUMBER | 1710963343 | 01 | |
| CO | COLORADO DENTAL LICENSE | DEN10252 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Creekside Endodontics, LLC | 10450 Park Meadows Drive, Suite 306, Lone Tree, CO 80124 |
| Street Address |
10450 PARK MEADOWS DR SUITE 306 |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154773133 | Jakob Graff | Physician Assistant | 10450 Park Meadows Dr, Lone Tree, CO 80124-5529 | 2016-07-01 |
| 1215303854 | Lone Tree Pediatric Dentistry | Dentist | 10450 Park Meadows Dr, #308, Lone Tree, CO 80124-5529 | 2015-08-18 |
| 1245635093 | Park Ridge Surgery Center, LLC | Clinic/Center | 10450 Park Meadows Dr, Suite 200, Lone Tree, CO 80124-5529 | 2014-10-22 |
| 1346564457 | Nicholas W Miner | Dentist | 10450 Park Meadows Dr, Suite #308, Lone Tree, CO 80124-5529 | 2010-03-18 |
| 1033318258 | Alexender Vigil | Registered Nurse | 10450 Park Meadows Dr, Suite 202, Lone Tree, CO 80124-5529 | 2007-07-17 |
| 1942419122 | Keith Edward Clear | Dentist | 10450 Park Meadows Dr, Suite 110, Lone Tree, CO 80124-5529 | 2007-05-22 |
| 1205911575 | Brockman Family Dentistry, Inc. | Dentist | 10450 Park Meadows Dr, Suite 304, Lone Tree, CO 80124-5529 | 2006-10-26 |
| 1881776029 | Adient Health, Inc | Physical Therapist | 10450 Park Meadows Dr, # 103, Lone Tree, CO 80124 | 2006-10-19 |
| 1528167640 | Healthone Clinic Services LLC | Neurological Surgery | 10450 Park Meadows Dr, #202, Lone Tree, CO 80124-5529 | 2006-09-22 |
| 1275541708 | Gregory Mesa | Physical Therapist | 10450 Park Meadows Dr, 103, Lone Tree, CO 80124 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952817520 | Kelly R Freeman Dds PC | Clinic/Center | 10455 Park Meadows Dr Ste 101, Lone Tree, CO 80124-5307 | 2017-12-19 |
| 1104285261 | Family Dental and Oral Hygiene of Colorado Inc | Clinic/Center | 9227 E. Lincoln Ave. Suite 200, Suite 200, Lone Tree, CO 80124 | 2016-02-17 |
| 1780208413 | Stanbrick Dental, PC | Clinic/Center | 9400 Station St Ste 175, Lone Tree, CO 80124-6821 | 2020-05-28 |
| 1710316633 | Alan Gerbholz, LLC | Clinic/Center | 9227 E Lincoln Ave, Suite 100, Lone Tree, CO 80124-5506 | 2013-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669074 | Red House | Clinic/Center | 440 S Lincoln Ave Ste B10, Steamboat Springs, CO 80487-8935 | 2020-11-02 |
| 1881294387 | Scott Holm Dmd Pllc | Clinic/Center | 685 Citadel Dr E Ste 200b, Colorado Springs, CO 80909-5315 | 2020-10-26 |
| 1205435013 | Kids In Need of Dentistry | Clinic/Center | 4201 E 72nd Ave Unit D, Commerce City, CO 80022-1578 | 2020-10-22 |
| 1619576428 | Kids In Need of Dentistry | Clinic/Center | 925 N Lincoln St Ste B, Denver, CO 80203-2784 | 2020-10-22 |
| 1477151173 | Professional Dental Care of New Mexico | Clinic/Center | 10233 S Parker Rd Ste 107, Parker, CO 80134-9314 | 2020-10-14 |
| 1023615556 | Vida Orthodontics | Clinic/Center | 19551 Hess Rd Unit 110, Parker, CO 80134-3446 | 2020-10-07 |
| 1417554668 | Turner, Pllc | Clinic/Center | 5361 S Gray St, Denver, CO 80123-5110 | 2020-10-01 |
| 1316553860 | Willow Creek Perfect Teeth PC | Clinic/Center | 8150 S Quebec St Ste C, Centennial, CO 80112-3186 | 2020-09-21 |
| 1326653841 | Nic - Denver, Pllc | Clinic/Center | 8000 E Prentice Ave Ste A3, Greenwood Village, CO 80111-2725 | 2020-09-11 |
| 1568075489 | Open and Affordable Dental Cs North Pllc | Clinic/Center | 6375 Lehman Dr Ste 200, Colorado Springs, CO 80918-1427 | 2020-08-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.