BROCKMAN FAMILY DENTISTRY, INC. (NPI# 1205911575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205911575 |
| Entity Type | Organization |
| Organization Name | BROCKMAN FAMILY DENTISTRY, INC. |
| Practice Address |
10450 Park Meadows Dr Suite 304 Lone Tree CO 80124-5529 |
| Practice Telephone | 3037994333 |
| Practice Fax Number | 3037997931 |
| Mailing Telephone | 3037994333 |
| Mailing Fax Number | 3037997931 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN RICHARD BROCKMAN JR. (DENTIST PRESIDENT) |
| Authorized Official Telephone | 3037994333 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8132 | CO | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Brockman Family Dentistry, Incorporated | 11949 Lioness Way, Suite 200, Parker, CO 80134 |
| Street Address |
10450 PARK MEADOWS DR SUITE 304 |
| 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 |
| 1144608282 | Creekside Endodontics, LLC | Clinic/Center | 10450 Park Meadows Dr, Suite 306, Lone Tree, CO 80124-5529 | 2015-05-08 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1356995021 | My Local Colorado Dental Practice, LLC | Dentist | 10461 Park Meadows Dr Bldg 4, Lone Tree, CO 80124-5306 | 2019-07-30 |
| 1699237990 | Oleary and Peppler, Pllc | Dentist | 7430 Park Meadows Dr Ste 100, Lone Tree, CO 80124-2545 | 2019-04-04 |
| 1023469327 | Adam Gart | Dentist | 9400 Station St Ste 175, Lone Tree, CO 80124-6821 | 2016-06-28 |
| 1538527932 | Tu Dentista LLC | Dentist | 8683 E Lincoln Ave Ste 120, Lone Tree, CO 80124-9812 | 2016-02-01 |
| 1205089083 | Ambida Family Dentistry, PC | Dentist | 9695 S Yosemite St Ste 225, Lone Tree, CO 80124-2890 | 2008-10-24 |
| 1306063995 | Joseph Patrick O'leary | Dentist | 7430 Park Meadows Drive, Suite 100, Lone Tree, CO 80124 | 2007-04-18 |
| 1942321401 | Perfect Teeth - Highlands Ranch P.C. | Dentist | 9227 E Lincoln Ave, Suite 100, Lone Tree, CO 80124-5506 | 2007-04-03 |
| 1821122946 | Adam David Almeida | Dentist | 8683 E Lincoln Ave Ste 200, Lone Tree, CO 80124-9812 | 2007-03-14 |
| 1356496558 | Blue Mesa Dentistry At The Crest | Dentist | 10047 Park Meadows Dr, #b, Lone Tree, CO 80124 | 2007-01-25 |
| 1538244892 | John Richard Brockman Jr. | Dentist | 10450 Park Meadows Dr Ste 304, Lone Tree, CO 80124-5530 | 2006-10-26 |
| Find all providers in LONE TREE | ||||
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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.