SOUTHPARK ORTHODONTICS (NPI# 1255488508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255488508 |
| Entity Type | Organization |
| Organization Name | SOUTHPARK ORTHODONTICS |
| Practice Address |
8199 Southpark Ln Suite 150 Littleton CO 80120-5667 |
| Practice Telephone | 3037388828 |
| Practice Fax Number | 3037388823 |
| Mailing Telephone | 3037388828 |
| Mailing Fax Number | 3037388823 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JENNIFER KO (OFFICE MANAGER) |
| Authorized Official Telephone | 3037388828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7924 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 60387831 | 05 |
| Street Address |
8199 SOUTHPARK LN SUITE 150 |
| City | LITTLETON |
| State | CO |
| Zip Code | 80120-5667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948736 | Lisa K Gidday | Internal Medicine | 8199 Southpark Ln, Suite 100, Littleton, CO 80120-5667 | 2005-11-07 |
| 1316472079 | Southpark Dentistry P.C. | Dentist | 8199 Southpark Ln, Suite 120, Littleton, CO 80120-5667 | 2017-05-01 |
| 1790070068 | Metwest Inc | Clinical Medical Laboratory | 8199 Southpark Ln, Ste 110, Littleton, CO 80120-5667 | 2011-06-15 |
| 1760784698 | Julianne Engerman | Registered Nurse | 8199 Southpark Ln, Suite 100, Littleton, CO 80120-5667 | 2010-11-29 |
| 1053632646 | Laboratory Corporation of America | Clinical Medical Laboratory | 8199 Southpark Ln, Ste 100, Littleton, CO 80120-5667 | 2010-06-17 |
| 1104077585 | Kathleen J Weiss | Internal Medicine | 8199 Southpark Ln, Suite 100, Littleton, CO 80120-5667 | 2008-10-03 |
| 1699943407 | Southpark Physical Therapy | Physical Therapist | 8199 Southpark Ln, #120, Littleton, CO 80120-5667 | 2008-02-14 |
| 1740336692 | Susan K Braun | Physician Assistant | 8199 Southpark Ln, Ste #100, Littleton, CO 80120-5667 | 2007-01-25 |
| 1043368343 | Amir R Fereydouni Dmd Professional Corporation | Dentist | 8199 Southpark Ln, Suite #150, Littleton, CO 80120-5667 | 2007-01-05 |
| 1295815801 | Amy L Lehman | Physical Therapist | 8199 Southpark Ln, #120, Littleton, CO 80120-5667 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156303 | Kelly Joy Brutsch | Counselor | 8191 Southpark Lane Suite 201, Littleton, CO 80120 | 2019-10-18 |
| 1902468309 | Infiniti Counseling, LLC | Clinic/Center | 4 W Dry Creek Circle, Littleton, CO 80120 | 2019-07-05 |
| 1437642642 | Brent Charles Mowery | Dentist | 209 W Littleton Blvd Ste B, Littleton, CO 80120 | 2018-06-12 |
| 1225525066 | Christopher Charles Miller | Counselor | 7851 S. Elati St., Suite 203, Littleton, CO 80120 | 2018-04-17 |
| 1417455890 | Cynthia Cline Mcrae | Counselor | 7921 Southpark Plaza, Grace Counseling, Suite 204, Littleton, CO 80120 | 2018-01-31 |
| 1780113175 | Janine Marie Lopez | Case Manager/Care Coordinator | 5500 S Sycamore, Littleton, CO 80120 | 2017-06-08 |
| 1952845588 | Hilary Sparrow Morris | Counselor | 991 Southpark Drive, #200, Cerescan, Littleton, CO 80120 | 2016-12-16 |
| 1760837132 | Supported Change,llc | Social Worker | 609 W Littleton Blvd Suite 201, Littleton, CO 80120 | 2016-05-04 |
| 1598123994 | Jarod Williams | Counselor | 8151 Southpark Ln Unit 250, Littleton, CO 80120 | 2016-02-01 |
| 1770948085 | Susan Jean Sylvester | Counselor | 609 West Littleton Blvd., Suite 201, Littleton, CO 80120 | 2015-12-31 |
| Find all providers in zip 80120 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170536 | Rocke Orthodontics | Dentist | 7720 S Broadway Ste 300, Littleton, CO 80122-2624 | 2018-10-22 |
| 1194269787 | Kids and Family Orthodontics,llc | Dentist | 40 W Littleton Blvd, Suite 205, Littleton, CO 80120-2478 | 2016-12-15 |
| 1720238173 | Irina A Lovinescu | Dentist | 9200 W Cross Dr Ste 426, Littleton, CO 80123-0760 | 2008-09-23 |
| 1083839302 | Robert B Gardner | Dentist | 9878 W Belleview Ave, Littleton, CO 80123-2101 | 2007-04-13 |
| 1841327103 | Embraceable LLC | Dentist | 5055 S Kipling St, Littleton, CO 80127-7932 | 2007-02-27 |
| 1780759282 | Robert Brewka | Dentist | 14 W Dry Creek Cir, Littleton, CO 80120-4413 | 2006-11-21 |
| 1447333406 | Scott W Ohmart | Dentist | 10146 W San Juan Way Unit 230, Littleton, CO 80127-6326 | 2006-10-23 |
| 1912003179 | Craig W Horner | Dentist | 11757 W Ken Caryl Ave Unit K, Littleton, CO 80127-3719 | 2006-09-15 |
| 1487768412 | Gary Matthew Holt | Dentist | 5055 S Kipling Pkwy, Littleton, CO 80127 | 2006-08-18 |
| 1104331255 | Orthodontic Experts of Colorado, Pllc | Dentist | 9200 W Cross Dr Ste 426, Littleton, CO 80123-0760 | 2017-12-12 |
| Find all providers in LITTLETON | ||||
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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.