5280 PEDIATRIC DENTISTRY (NPI# 1467828905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467828905 |
| Entity Type | Organization |
| Organization Name | 5280 PEDIATRIC DENTISTRY |
| Practice Address |
10463 Park Meadows Dr Suite 206 Lone Tree CO 80124-5316 |
| Practice Telephone | 3036015280 |
| Mailing Telephone | 3036015280 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |
| Authorized Official Name | DR. DEREK STEPHEN OWENS (OWNER) |
| Authorized Official Telephone | 3033496480 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0020124 | CO | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | 5280 Pediatric Dentistry | 11960 Lioness Way, #170, Parker, CO 80134 |
| Street Address |
10463 PARK MEADOWS DR SUITE 206 |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-5316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285618835 | Lee K Mcneely | Radiology | 10463 Park Meadows Dr, Suite 114, Lone Tree, CO 80124-5316 | 2005-12-06 |
| 1215170600 | Colorado Cybermed, Pllc | Clinic/Center | 10463 Park Meadows Dr, Suite 114, Lone Tree, CO 80124-5316 | 2009-04-14 |
| 1902046576 | Denver Cyberknife, LLC | Clinic/Center | 10463 Park Meadows Dr, Suite 114, Lone Tree, CO 80124-5316 | 2009-02-23 |
| 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 | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407901754 | Colorado Kids Pediatric Dentistry | Dentist | 9227 E Lincoln Ave Ste 100, Lone Tree, CO 80124-5504 | 2007-01-25 |
| 1366419855 | Ximena F Pareja | Dentist | 10000 Commons St, Lone Tree, CO 80124-5501 | 2006-03-02 |
| 1215303854 | Lone Tree Pediatric Dentistry | Dentist | 10450 Park Meadows Dr, #308, Lone Tree, CO 80124-5529 | 2015-08-18 |
| 1720466915 | Thomas Blake Higgins | Dentist | 10000 Commons St, Lone Tree, CO 80124-5501 | 2015-05-08 |
| 1386080174 | Julie Nicole Leblanc | Dentist | 10000 Commons St, Lone Tree, CO 80124-5501 | 2013-05-20 |
| 1346564457 | Nicholas W Miner | Dentist | 10450 Park Meadows Dr, Suite #308, Lone Tree, CO 80124-5529 | 2010-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181103 | Stettler Kr Broadmoor Pllc | Dentist | 4515 Broadmoor Bluffs Dr, Colorado Springs, CO 80906-8647 | 2020-07-09 |
| 1043842453 | Highlands Pediatric Dentistry | Dentist | 3141 Irving St Unit 200, Denver, CO 80211-3654 | 2020-02-04 |
| 1174163711 | J Patrick Bowman Dmd Pllc | Dentist | 1280 S Pearl St, Denver, CO 80210-1538 | 2020-01-12 |
| 1487211124 | Rebecca Goldberg, Dds, Pllc | Dentist | 2975 Roslyn St Unit 160, Denver, CO 80238-3326 | 2019-05-28 |
| 1427521509 | Kids Mile High Thornton Pllc | Dentist | 7375 E. 128th Ave, Thornton, CO 80602 | 2019-01-10 |
| 1578060299 | Julia Rose Wiegand | Dentist | 2352 Meadows Blvd Ste 200, Castle Rock, CO 80109-8408 | 2018-04-09 |
| 1215432141 | Dan Duy Hoang | Dentist | 660 Southpointe Ct Ste 100, Colorado Springs, CO 80906-3806 | 2018-03-23 |
| 1053851485 | Allison Threlkeld Davis | Dentist | 404 E Mineral Ave Ste A, Littleton, CO 80122-2611 | 2017-03-04 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1942673512 | A. P. Smithwick D.d.s. IIi Professional LLC | Dentist | 125 Inverness Dr E Ste 300, Englewood, CO 80112-5139 | 2015-11-04 |
| 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.