CCDI DENVER PDC PLLC (NPI# 1013573815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013573815 |
| Entity Type | Organization |
| Organization Name | CCDI DENVER PDC PLLC |
| Practice Address |
1573 S Broadway Denver CO 80210-2607 |
| Mailing Address |
Po Box 970484 Orem UT 84097-0309 |
| Practice Telephone | 3033331844 |
| Practice Fax Number | 7203704777 |
| Mailing Telephone | 8013503460 |
| Mailing Fax Number | 8013356551 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Authorized Official Name | DR. SCOTT GENE FERGUSON JR. (OWNER) |
| Authorized Official Telephone | 3033331844 |
| Authorized Official Credential | DDS |
| 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 Denver PDC PLLC | 1573 S Broadway, Denver, CO 80210 |
| Street Address |
1573 S BROADWAY |
| City | DENVER |
| State | CO |
| Zip Code | 80210-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408360 | Carley Danielle Westerson | Counselor | 290 North Williams Street, Room #205, Denver, CO 80210 | 2019-10-14 |
| 1427690429 | Katherine Elizabeth Mullen | Chiropractor | 1313 S Clarkson St. Unit 1, Denver, CO 80210 | 2019-10-10 |
| 1922665975 | Amy Welsh, Inc | Occupational Therapist | 1588 S Logan St, Denver, CO 80210 | 2019-05-24 |
| 1598328346 | Heather Lynn Stone | Social Worker | 950 E Porter Avenue #670, Denver, CO 80210 | 2019-04-17 |
| 1669952909 | Christopher G. Sharrow | Social Worker | 1777 S. Harrison St., Suite 1200, Denver, CO 80210 | 2018-08-16 |
| 1922598952 | Rebecca Turlo | Hearing Instrument Specialist | 950 E Harvard Ave Ste E620, Denver, CO 80210 | 2018-05-15 |
| 1215446083 | Alex James Koch | Acupuncturist | 1110 E Evans Ave, Denver, CO 80210 | 2017-09-25 |
| 1043738495 | Sarah Urycki | Counselor | 2317 A S Race Street, Denver, CO 80210 | 2017-09-06 |
| 1770032641 | The Young Men's Christian Association of Metropolitan Denver | Health Educator | 3901 E Yale Ave, Denver, CO 80210 | 2016-10-03 |
| 1831647437 | Samantha Johnson | Nurse Practitioner | 450 E Harvard Ave, Denver, CO 80210 | 2016-09-13 |
| Find all providers in zip 80210 | ||||
| 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 |
|---|---|---|---|---|
| 1942807466 | Kristie Han | Dentist | 3494 S Grape St, Denver, CO 80222-7528 | 2020-10-07 |
| 1316558976 | Nicholas Propp | Dentist | 7596 E 28th Ave Unit 3, Denver, CO 80238-2304 | 2020-08-16 |
| 1396367090 | Hunter Weber | Dentist | 9409 E 57th Pl, Denver, CO 80238-2379 | 2020-05-15 |
| 1902436140 | Kaysie Mills | Dentist | 5062 Yosemite Ct Unit 1, Denver, CO 80238-3765 | 2020-01-15 |
| 1154966026 | Joanna Kopytek | Dentist | 8276 Explorador Calle, Denver, CO 80229-5527 | 2019-11-14 |
| 1366085292 | Espire Dental Practice, LLC | Dentist | 8080 E Union Ave #140, Denver, CO 80237 | 2019-10-23 |
| 1700432911 | Sol Kim | Dentist | 1935 N Logan St Apt 507, Denver, CO 80203-4391 | 2019-08-13 |
| 1023676996 | Mei Saelee | Dentist | 3773 E Cherry Creek North Dr Ste 120, Denver, CO 80209-3811 | 2019-06-04 |
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1376017061 | Youssef Kartabil | Dentist | 8155 E Fairmount Dr Unit 2036, Denver, CO 80230-6838 | 2019-01-15 |
| Find all providers in DENVER | ||||
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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.