CCDI PARKER PDC PLLC (NPI# 1992363444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992363444 |
| Entity Type | Organization |
| Organization Name | CCDI PARKER PDC PLLC |
| Practice Address |
10841 Crossroads Dr Ste 9 Parker CO 80134-9090 |
| Mailing Address |
Po Box 970057 Orem UT 84097-0309 |
| Practice Telephone | 3033331844 |
| Mailing Telephone | 8013053460 |
| Mailing Fax Number | 8013356551 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Authorized Official Name | JACOB WARNER (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 8016911701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Cherry Creek Dental Implant | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CCDI Parker PDC PLLC | 10841 S. Crossroads Dr, Suite 9, Parker, CO 80134 |
| Street Address |
10841 CROSSROADS DR STE 9 |
| City | PARKER |
| State | CO |
| Zip Code | 80134-9090 |
| 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 | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477114981 | Elizabeth Tremblay | Dentist | 18967 E Clear Creek Dr, Parker, CO 80134-4837 | 2019-06-25 |
| 1033605019 | Christopher Octavius Henry | Dentist | 9871 S Parker Rd Unit 105, Parker, CO 80134-8950 | 2018-07-02 |
| 1356867873 | Aspen Surgical Arts-implants and Oral Maxillofacial Surgery | Dentist | 19700 E Parker Square Dr Ste B4, Parker, CO 80134-7301 | 2017-08-16 |
| 1275062465 | Amber Schmidt | Dentist | 18551 E Mainstreet Ste 1c, Parker, CO 80134-4951 | 2017-06-09 |
| 1013384759 | Erik Chestnut | Dentist | 19751 E Mainstreet Ste R8, Parker, CO 80138-7392 | 2015-08-28 |
| 1730569781 | Angela S. Evanson, D.d.s., PC | Dentist | 17167 E. Cedar Gulch Pkwy, #202, Parker, CO 80134 | 2015-06-04 |
| 1326460247 | Jonathan Widdig | Dentist | 6003 Dumont Ct, Parker, TX 75002-5494 | 2014-01-11 |
| 1851731046 | Ilan Shamos | Dentist | 155 W Riverside Dr Ste 153, Parker, AZ 85344-5221 | 2013-07-02 |
| 1184062747 | Christopher Michael Green | Dentist | 19551 Hess Road, Suite 100, Parker, CO 80134 | 2013-06-05 |
| 1669723557 | Parker Modern Dentistry and Orthodontics, LLP | Dentist | 9871 S Parker Rd Ste 105, Parker, CO 80134-8815 | 2012-10-02 |
| Find all providers in PARKER | ||||
Please comment or provide details below to improve the information on CCDI PARKER PDC PLLC.
| 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.