AURORA DENTAL GROUP LLC (NPI# 1881026854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881026854 |
| Entity Type | Organization |
| Organization Name | AURORA DENTAL GROUP LLC |
| Practice Address |
1344 S Chambers Rd Ste 201 Aurora CO 80017-4096 |
| Practice Telephone | 7202175794 |
| Mailing Telephone | 7202175794 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |
| Authorized Official Name | DR. KATHY J TOMLISON (OWNER) |
| Authorized Official Telephone | 7202175794 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 8412 | CO | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 1477665164 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801314810 | Aurora Dental Group LLC | Dentist | 63675 E Saddlebrooke Blvd Ste M, Tucson, AZ 85739-1297 | 2017-08-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Aurora Dental Group LLC | 724 Peoria Street, Aurora, CO 80011 |
| Street Address |
1344 S CHAMBERS RD STE 201 |
| City | AURORA |
| State | CO |
| Zip Code | 80017-4096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912425133 | Jennifer Camp | Registered Nurse | 2500 South Parker Road, Parker, CO 80017 | 2017-09-08 |
| 1679002034 | Rukecha LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1425 S Ensenada St, Aurora, CO 80017 | 2017-06-08 |
| 1649714395 | Bruk Transportation LLC | Non-emergency Medical Transport (VAN) | 18091 E Kentucky Ave, Apt. 103, Aurora, CO 80017 | 2016-12-15 |
| 1477909604 | Agape Transit LLC | Non-emergency Medical Transport (VAN) | 1660 S Chambers Rd, Aurora, CO 80017 | 2016-05-06 |
| 1831552918 | Ayinalem Sima | Non-emergency Medical Transport (VAN) | 1720 S Quintero Way, Aurora, CO 80017 | 2016-04-05 |
| 1821450446 | Malayah Stamps | Technician, Other | 16202 E Alabama Dr, Aurora, CO 80017 | 2016-03-23 |
| 1033574330 | Melissa Rose Harmon | Student in an Organized Health Care Education/Training Program | 1234 Bell, Aurora, CO 80017 | 2015-12-31 |
| 1770951154 | Smooth Ride Services, LLC | Non-emergency Medical Transport (VAN) | 16492 E Wyoming Dr, Aurora, CO 80017 | 2015-09-02 |
| 1063893857 | Belew B Yigletu Sr. | Driver | 15330 E Center Ave # N204, Aurora, CO 80017 | 2015-06-17 |
| 1184058281 | Boomer Medical Supply | Durable Medical Equipment & Medical Supplies | 17935 East Florida Drive, Aurora, CO 80017 | 2013-08-26 |
| Find all providers in zip 80017 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649787599 | Diabetes Wellness Solutions, LLC | Preferred Provider Organization | 23911 E Arapahoe Rd, Aurora, CO 80016-4120 | 2018-01-01 |
| 1902275209 | Life Balance Counseling | Preferred Provider Organization | 2323 S Troy St Ste 256, Aurora, CO 80014-1946 | 2015-09-17 |
| 1780092056 | Community Re-entry Place Inside/out | Preferred Provider Organization | 14221 E 4th Ave Ste 330, Aurora, CO 80011-8727 | 2014-07-30 |
| 1235418625 | Monica Rudestam | Preferred Provider Organization | 14936 3rd St Ne, Aurora, OR 97002-9221 | 2011-08-16 |
| 1487801890 | Optimum Chiropractic Center, S.c. | Preferred Provider Organization | 1013 Audubon Ln, Aurora, IL 60506-8853 | 2008-08-27 |
| 1629078993 | Rocky Mountain Infectious Disease Specialists, P.C. | Preferred Provider Organization | 1550 S Potomac St, Suite 270, Aurora, CO 80012-5455 | 2005-07-28 |
| 1720457435 | Access Management Services | Preferred Provider Organization | 11100 E Bethany Dr, Aurora, CO 80014 | 2015-09-23 |
| 1972904282 | Meadow Lake Dental LLC | Preferred Provider Organization | 3941 75th St, Suite 102, Aurora, IL 60504-7924 | 2014-09-07 |
| 1386941748 | Eyeland Optical Corporation | Preferred Provider Organization | 26 E Downer Pl, Aurora, IL 60505-3302 | 2011-02-22 |
| 1639323496 | Clinica Dental Latina | Preferred Provider Organization | 11175 E Mississippi Ave, Suite 100, Aurora, CO 80012-3137 | 2008-11-06 |
| Find all providers in AURORA | ||||
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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.