COLORADO DENTAL PROFESSIONALS, LLC (NPI# 1477179521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477179521 |
| Entity Type | Organization |
| Organization Name | COLORADO DENTAL PROFESSIONALS, LLC |
| Practice Address |
13075 Copperhead Trl Parker CO 80134-6243 |
| Practice Telephone | 3034820090 |
| Mailing Telephone | 3034820090 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLORADO DENTAL PROFESSIONALS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Copperhead Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578101200 | Colorado Dental Professionals, LLC | Dentist | 8290 S Holly St Ste A, Centennial, CO 80122-4029 | 2019-12-12 |
| 1306487053 | Colorado Dental Professionals, LLC | Dentist | 14823 W 91st Pl, Arvada, CO 80005-1454 | 2019-10-03 |
| 1962059931 | Colorado Dental Professionals, LLC | Dentist | 655 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3859 | 2019-08-23 |
| 1700449436 | Colorado Dental Professionals, LLC | Dentist | 904 Hailey Ln Ste A, Pueblo West, CO 81007-4456 | 2019-04-18 |
| 1689145609 | Colorado Dental Professionals, LLC | Dentist | 6726 S Revere Pkwy # A140, Centennial, CO 80112-3961 | 2018-12-17 |
| 1326553819 | Colorado Dental Professionals, LLC | Dentist | 2297 State Highway 7, Erie, CO 80516-8009 | 2017-12-06 |
| 1255843975 | Colorado Dental Professionals, LLC | Dentist | 440 Erie Pkwy, Erie, CO 80516 | 2017-11-03 |
| 1477065506 | Colorado Dental Professionals, LLC | Dentist | 7520 Bierstadt Hts Ste 125, Falcon, CO 80831-6177 | 2017-10-30 |
| 1902265382 | Colorado Dental Professionals, LLC | Dentist | 12889 Quebec Street, Thornton, CO 80602 | 2016-02-15 |
| 1720171564 | Colorado Dental Professionals, LLC | Dentist | 6980 Mesa Ridge Parkway, Suite 200, Fountain, CO 80817 | 2006-10-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Colorado Dental Professionals, LLC | 1900 W. Littleton Blvd, Littleton, CO 80120 |
| Street Address |
13075 COPPERHEAD TRL |
| City | PARKER |
| State | CO |
| Zip Code | 80134-6243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241180 | William Cavell | Dentist | 13075 Copperhead Trl, Parker, CO 80134-6243 | 2020-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821560731 | Michaela Cox | Massage Therapist | 18551 E Mainstreet #103, Suite 15, Parker, CO 80134 | 2018-12-18 |
| 1376038315 | Danielle Rene Adamson | Audiologist | 11211 South Bransfeltd Road, Parker, CO 80134 | 2018-06-22 |
| 1316431042 | Michael Petrie | Massage Therapist | 10841 S Crossroads Drive, Suite 17, Parker, CO 80134 | 2018-06-16 |
| 1942729942 | Anthony Bricker | Specialist/Technologist | 5303 Territorial Street, Parker, CO 80134 | 2017-09-12 |
| 1609394238 | Mountain Peak Counseling | Counselor | 12760 Stroh Ranch Way Suite 201, Parker, CO 80134 | 2017-09-04 |
| 1013448497 | Cvs Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 16920 Lincoln Ave, Parker, CO 80134 | 2017-03-27 |
| 1043759921 | Timothy Michael Loar | Physical Therapist | 19964 E. Hilltop Rd, Suite B, Parker, CO 80134 | 2017-02-13 |
| 1851842835 | Carla S Bradburn | Counselor | 9581 Pearl Circle, #105, Parker, CO 80134 | 2016-10-14 |
| 1942653258 | West Coast Neuro | Specialist/Technologist, Other | 10940 S Parker Rd # 503, Parker, CO 80134 | 2016-07-21 |
| 1487036950 | Amber Abrams | Nurse Practitioner | 4251 Twenty Mile Rd, Parker, CO 80134 | 2015-06-22 |
| Find all providers in zip 80134 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458740 | Mohammad Walid Omary | Dentist | 155 W Riverside Dr, Parker, AZ 85344-5221 | 2020-08-18 |
| 1205485612 | At Home Mobile Dental Corp. | Dentist | 18551 E Mainstreet # 103, Parker, CO 80134-4951 | 2019-09-09 |
| 1598287369 | Bond John Harman | Dentist | 19700 E Parker Square Dr Ste A, Parker, CO 80134-7300 | 2017-07-12 |
| 1902256837 | Kharis Dental, PC | Dentist | 5902 Corinth Chapel Rd, Parker, TX 75002-6445 | 2016-06-22 |
| 1588010409 | Parker Dentistry and Orthodontics, LLP | Dentist | 12947 S Parker Rd, Suite 2, Parker, CO 80134-3498 | 2016-05-10 |
| 1164803276 | Modern Dental Professionals Co PC | Dentist | 11183 S Parker Rd Unit C, Parker, CO 80134-4905 | 2015-06-15 |
| 1821422940 | Nathan Gunning | Dentist | 17805 Cottonwood Dr Unit 115, Parker, CO 80134-3952 | 2013-08-26 |
| 1215291885 | Nathaniel Conrad Cejka | Dentist | 18551 E Mainstreet, Suite 1c, Parker, CO 80134-4951 | 2012-06-28 |
| 1013288752 | Modern Dental Professionals Co, PC | Dentist | 11183 S Parker Rd, Unit C, Parker, CO 80134-4904 | 2012-01-25 |
| 1487875019 | Alvaro Felipe Ochoa | Dentist | 16691 Martingale Dr, Parker, CO 80134-9319 | 2007-05-01 |
| Find all providers in PARKER | ||||
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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.