PEDIATRIC DENTISTRY, P.C. (NPI# 1881717007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881717007 |
Entity Type | Organization |
Organization Name | PEDIATRIC DENTISTRY, P.C. |
Practice Address |
10184 W Belleview Ave Suite 110 Littleton CO 80127-1700 |
Practice Telephone | 3039734424 |
Practice Fax Number | 3039734427 |
Mailing Telephone | 3039734424 |
Mailing Fax Number | 3039734427 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. IRA N MOYER (SECRETARY-TREASURER) |
Authorized Official Telephone | 3039734424 |
Authorized Official Credential | D.D.S |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
104978 | CO | Dental Providers |
X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
104977 | CO | Dental Providers |
X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
104977 | CO | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 02049781 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932234002 | Pediatric Dentistry, P.C. | Dentist | 215 N Sheldon Rd, Plymouth, MI 48170-1524 | 2007-02-22 |
1154750677 | Pediatric Dentistry, P.C. | Clinic/Center | 3901 Pine Lake Rd Ste 250, Lincoln, NE 68516-5497 | 2013-11-05 |
1003028325 | Pediatric Dentistry, P.C. | Dentist | 2112 N Hill Field Rd Ste 1, Layton, UT 84041-4023 | 2007-05-07 |
1396898847 | Pediatric Dentistry, P.C. | Dentist | 1 Lake St, Building B, New Britain, CT 06052-1396 | 2007-01-19 |
1326118993 | Pediatric Dentistry, P.C. | Dentist | 1439 Stillwater Ave Ste 7, Cheyenne, WY 82009-7367 | 2006-11-09 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | PEDIATRIC DENTISTRY, P.C. | 350 Oak Tree Lane, Ste 100, Dakota Dunes, SD 57049 |
Street Address |
10184 W BELLEVIEW AVE SUITE 110 |
City | LITTLETON |
State | CO |
Zip Code | 80127-1700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245205277 | Ira Nicholas Moyer | Dentist | 10184 W Belleview Ave, Suite 110, Littleton, CO 80127-1764 | 2006-02-22 |
1437522513 | Littleton Kids Dental | Dentist | 10184 W Belleview Ave, #110, Littleton, CO 80127-1700 | 2015-11-11 |
1154707230 | Tracy Sales | Dentist | 10184 W Belleview Ave, Suite 220, Littleton, CO 80127-1700 | 2015-07-30 |
1780930958 | Patrick Hannaway | Dentist | 10184 W Belleview Ave, Suite 220, Littleton, CO 80127-1700 | 2012-07-25 |
1831357425 | Clay Fuller Ziegler | Dentist | 10184 W Belleview Ave, #110, Littleton, CO 80127-1700 | 2008-05-30 |
1962689323 | Youthtrack, Inc. | Non-emergency Medical Transport (VAN) | 10184 W Belleview Ave, Suite 300, Littleton, CO 80127-1700 | 2008-01-29 |
1821274002 | Youthtrack | Non-emergency Medical Transport (VAN) | 10184 W Belleview Ave, Suite 300, Littleton, CO 80127-1700 | 2008-01-17 |
1689850869 | Youthtrack | Non-emergency Medical Transport (VAN) | 10184 W Belleview Ave, Suite 300, Littleton, CO 80127-1700 | 2008-01-17 |
1821274093 | Youthtrack | Non-emergency Medical Transport (VAN) | 10184 W Belleview Ave, Suite 300, Littleton, CO 80127-1700 | 2008-01-17 |
1720264997 | Youthtrack | Non-emergency Medical Transport (VAN) | 10184 W Belleview Ave, Suite 300, Littleton, CO 80127-1700 | 2008-01-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275029571 | Victoria Jane Getzen | Physical Therapist | 10239 D W Fair Ave, Littleton, CO 80127 | 2018-07-10 |
1720506306 | Nola Lynn Walker Palmer | Registered Nurse | 11052 W. Cooper Drive, Littleton, CO 80127 | 2017-09-05 |
1356863922 | Hanna Tarsunova Page | Audiologist | 6578 S Alkire St, Unit 1628, Littleton, CO 80127 | 2017-07-14 |
1316307879 | Colleen Imerman | Speech-Language Pathologist | 8 Wild Turkey Lane, Littleton, CO 80127 | 2016-02-26 |
1407241011 | Priya Dokken | Pediatrics | 10901 W Toller Dr Ste 101, Littleton, CO 80127 | 2015-03-31 |
1003210907 | Denya Wormenor | Counselor | 8420 S. Continental Divide Road #222, Littleton, CO 80127 | 2014-10-21 |
1114328150 | Littleton-bowles Medical Center LLC | Clinic/Center | 13351 West Bowles Ave, Littleton, CO 80127 | 2014-09-09 |
1417365040 | Amanda Bird | Physician Assistant | 271 West County Line Road, Littleton, CO 80127 | 2014-07-28 |
1174933642 | Stacy Hart | Counselor | 8420 S Continental Divide Rd #223, Littleton, CO 80127 | 2014-05-05 |
1124443601 | Meredith L. Bremner | Physical Therapist | 6612 S. Ward Street, Littleton, CO 80127 | 2014-02-20 |
Find all providers in zip 80127 |
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 |
---|---|---|---|---|
1053851485 | Allison Threlkeld Davis | Dentist | 404 E Mineral Ave Ste A, Littleton, CO 80122-2611 | 2017-03-04 |
1609021740 | Marcie Ahman Flack | Dentist | 8906 W Bowles Ave Ste 200, Littleton, CO 80123-3400 | 2008-11-17 |
1679755615 | Randall S Asher | Dentist | 50 Falcon Hills Dr, Littleton, CO 80126-2901 | 2007-12-01 |
1659584894 | Jayme Jean Michalson | Dentist | 721 Southpark Dr, Suite A, Littleton, CO 80120-5728 | 2007-05-07 |
1063534857 | Autumn G Hurd | Dentist | 404 E Mineral Ave, Ste A, Littleton, CO 80122-2611 | 2007-04-04 |
1639244668 | James A Urbaniak Dds Ms PC | Dentist | 6931 S Pierce St Ste 101, Littleton, CO 80128-4560 | 2006-11-22 |
1811940943 | Courtney R. College | Dentist | 10146 W San Juan Way, Suite 220, Littleton, CO 80127-6326 | 2006-05-18 |
1245205277 | Ira Nicholas Moyer | Dentist | 10184 W Belleview Ave, Suite 110, Littleton, CO 80127-1764 | 2006-02-22 |
1437522513 | Littleton Kids Dental | Dentist | 10184 W Belleview Ave, #110, Littleton, CO 80127-1700 | 2015-11-11 |
1831357425 | Clay Fuller Ziegler | Dentist | 10184 W Belleview Ave, #110, Littleton, CO 80127-1700 | 2008-05-30 |
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.