ON-SITE DENTIST, LLC (NPI# 1366960775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366960775 |
| Entity Type | Organization |
| Organization Name | ON-SITE DENTIST, LLC |
| Practice Address |
10734 E Berry Ave Englewood CO 80111-3972 |
| Mailing Address |
Po Box 3449 Greenwood Village CO 80155-3449 |
| Practice Telephone | 7198212237 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-10-10 |
| Authorized Official Name | TYSON PECHEK (DIRECTOR OF DENTISTRY) |
| Authorized Official Telephone | 7198212237 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9163 | CO | Dental Providers |
| Street Address |
10734 E BERRY AVE |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80111-3972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637552 | Aaron Joseph Rushing | Anesthesiologist Assistant | Us Anesthesia Partners of Colorado, Inc, 8000 E. Maplewood Ave., Suite 200, Greenwood Village, CO 80111 | 2020-04-06 |
| 1003381252 | Bing Xu | Non-emergency Medical Transport (VAN) | 9000 E Caley Way, Greenwood Village, CO 80111 | 2018-10-03 |
| 1669963146 | Deborah G. Aragon | Physician Assistant | 6229 S. Iola Wy, Englewood, CO 80111 | 2018-05-21 |
| 1902343718 | Jennifer Bielefeld | Registered Nurse | 6162 South Willow Dr., Suite 100, Greenwood Village, CO 80111 | 2017-01-31 |
| 1225589807 | Osama M Kassab | Chiropractor | 5690 Dtc Blvd Ste 140e, Greenwood Village, CO 80111 | 2016-10-19 |
| 1891242400 | Samantha Fiegel | Counselor | 6021 S Syracuse Way Ste 216, Greenwood Village, CO 80111 | 2016-09-01 |
| 1831644368 | Melissa Fischer Alconcel | Dentist | 8940 E. Crescent Parkway, Suite 370, Greenwood Village, CO 80111 | 2016-08-25 |
| 1245680263 | Carron Maclean | Counselor | 5310 Dtc Pkwy Ste A, Greenwood Village, CO 80111 | 2016-06-21 |
| 1326493792 | Insight Psychotherapy LLC | Counselor | 7350 E Progress Place, Suite 100, Greenwood Village, CO 80111 | 2016-05-04 |
| 1457705410 | Amy Flora | Occupational Therapist | 5750 Dtc Pkwy #170, Greenwood Village, CO 80111 | 2016-04-15 |
| Find all providers in zip 80111 | ||||
| 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 |
|---|---|---|---|---|
| 1942864509 | Sopris Smiles | Dentist | 1610 E Girard Pl Ste B, Englewood, CO 80113-3100 | 2019-04-29 |
| 1285160283 | No Smile Left Behind Pllc | Dentist | 750 W Hampden Avenue, Suite 516, Englewood, CO 80110 | 2017-05-11 |
| 1992155311 | Elizabeth Knott | Dentist | 101 W Hampden Ave Unit A, Englewood, CO 80110-2475 | 2016-06-16 |
| 1104274976 | Amar Mistry | Dentist | 9000 N Main St Ste 207, Englewood, OH 45415-1165 | 2016-06-02 |
| 1881077691 | Benjamin Charles Bass | Dentist | 6501 E Belleview Ave, Suite 120, Englewood, CO 80111-6022 | 2015-06-30 |
| 1194134064 | Kimberlie A Yun | Dentist | 401 S Van Brunt St # 404, Englewood, NJ 07631-4604 | 2014-08-05 |
| 1588097760 | Weerasooriya and Weerasooirya Dmd Pa | Dentist | 1861 Placida Rd Ste 105, Englewood, FL 34223-4900 | 2013-08-12 |
| 1720424633 | Mani Farzim | Dentist | 10500 Spring Green Dr Apt 110, Englewood, CO 80112-5745 | 2013-05-18 |
| 1538466065 | Dasilva Family Dentistry | Dentist | 11435 E Briarwood Ave Ste 400, Englewood, CO 80112-3828 | 2011-02-18 |
| 1407168677 | Hillery J Oliver | Dentist | 2780 S Broadway, Englewood, CO 80113-1523 | 2010-07-05 |
| Find all providers in ENGLEWOOD | ||||
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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.