PARKER PERIODONTICS & DENTAL IMPLANTS, PLLC (NPI# 1295089563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295089563 |
| Entity Type | Organization |
| Organization Name | PARKER PERIODONTICS & DENTAL IMPLANTS, PLLC |
| Practice Address |
19700 E Parker Square Dr Suite #3 Parker CO 80134-7301 |
| Practice Telephone | 3033090369 |
| Practice Fax Number | 3038350033 |
| Mailing Telephone | 3033090369 |
| Mailing Fax Number | 3038350033 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |
| Authorized Official Name | MR. KELVIN DE JULIO (OFFICE MANAGER) |
| Authorized Official Telephone | 3033090369 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
9692 | CO | Dental Providers |
| Street Address |
19700 E PARKER SQUARE DR SUITE #3 |
| City | PARKER |
| State | CO |
| Zip Code | 80134-7301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245203041 | Daniel Dejesus Escalante | Dentist | 19700 E Parker Square Dr, Parker, CO 80134-7301 | 2006-02-10 |
| 1306377213 | Kaelin Pediatric Dentistry | Dentist | 19700 E Parker Square Dr, Suite 2, Parker, CO 80134-7301 | 2017-03-22 |
| 1124248505 | Shane Robert Christensen | Dentist | 19700 E Parker Square Dr, Suite 8, Parker, CO 80134-7301 | 2007-04-26 |
| 1578780490 | Harman Family Dental Center | Dentist | 19700 E Parker Square Dr, Suite A, Parker, CO 80134-7301 | 2007-04-20 |
| 1093816340 | Jeffrey Lee Collins | Dentist | 19700 E Parker Square Dr, Suite C, Parker, CO 80134 | 2006-09-26 |
| 1447351523 | Nicole Foutz | Dentist | 19700 E Parker Square Dr, Suite A, Parker, CO 80134-7301 | 2006-09-25 |
| 1366544645 | Julia Rose Plevnia | Dentist | 19700 E Parker Square Dr, Parker, CO 80134-7301 | 2006-09-05 |
| 1396852166 | Kathryn Kutter Kaelin | Dentist | 19700 E Parker Square Dr, Parker, CO 80134-7301 | 2006-08-25 |
| 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 | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720116676 | Maryanne Brooks Butler | Dentist | 10371 Parkglenn Way, Suite #240, Parker, CO 80138-3260 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551530 | Greenwood Village Dental LLC | Dentist | 8000 E Prentice Ave Ste D7, Greenwood Village, CO 80111-2728 | 2019-10-29 |
| 1144878521 | Partners In Periodontics Pllc | Dentist | 1625 Foxtrail Dr Ste 100, Loveland, CO 80538-9089 | 2019-08-29 |
| 1114485331 | Joseph K Will Dds Ms Pllc | Dentist | 10050 W 41st Ave Unit 201, Wheat Ridge, CO 80033-4123 | 2019-03-06 |
| 1215413356 | Brian Lehigh | Dentist | 3400 Penrose Pl Ste 103, Boulder, CO 80301-1809 | 2018-07-12 |
| 1295270916 | Veronica Longville | Dentist | 13533 Huron St Ste 300, Westminster, CO 80234-1160 | 2017-01-04 |
| 1801204532 | Saroj Kumar Saha | Dentist | 682 S Emerson St, Denver, CO 80209-4339 | 2014-07-25 |
| 1053727024 | Mccombs Periodontics LLC | Dentist | 13335 Voyager Pkwy, Suite 130, Colorado Springs, CO 80921-7657 | 2014-07-10 |
| 1992129456 | Daryl Jorge Gasca | Dentist | 6900 W Grant Ranch Blvd, Littleton, CO 80123-5161 | 2014-02-04 |
| 1346663622 | Angie Lee, Dmd, Ms, Pllc | Dentist | 1220 Oak Park Dr Ste 2, Fort Collins, CO 80525-7302 | 2014-01-22 |
| 1629414677 | Colorado Gum Care | Dentist | 899 Hwy 287, Suite 100, Broomfield, CO 80020-7005 | 2013-05-17 |
| Find all providers with the same taxonomy | ||||
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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.