PEDIATRIC DENTICARE, P.C. (NPI# 1982826517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982826517 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTICARE, P.C. |
| Practice Address |
361 Village Square Lane Suite 100 Castle Rock CO 80108 |
| Mailing Address |
Po Box 371286 Denver CO 80237 |
| Practice Telephone | 3036633388 |
| Mailing Telephone | 3036633388 |
| Mailing Fax Number | 3032211264 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PURVI V SHAH (PRESIDENT) |
| Authorized Official Telephone | 3036633388 |
| Authorized Official Credential | MS NUTRITION,DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9060 | CO | Dental Providers |
| Street Address |
361 VILLAGE SQUARE LANE SUITE 100 |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164050902 | Elisabeth Susanne Littleton | Clinical Nurse Specialist | 6415 Montano Pl, Castle Pines, CO 80108 | 2020-03-28 |
| 1508366576 | Converge Health, LLC | Pharmacist | 4410 Orofino Pl, Castle Rock, CO 80108 | 2018-02-16 |
| 1447677042 | New Paradigm Counseling | Community/Behavioral Health | 757 Maleta Lane Suite 101, Castle Rock, CO 80108 | 2014-03-21 |
| 1205258043 | Valerie Sorensen Miller | Lactation Consultant, Non-RN | 9201 N Palomino, Castle Rock, CO 80108 | 2014-01-14 |
| 1134555238 | Michael Hunter | Pharmacist | 8664 Fawnwood Dr, Castle Pines, CO 80108 | 2013-09-20 |
| 1821341587 | Herman Aristov | Specialist/Technologist, Other | 1170 Berganot Trail, Castle Pines, CO 80108 | 2012-10-18 |
| 1457625691 | Castle Rock Modern Dentistry, LLP | Dentist | 36 East Allen Street, Ste. 100, Castle Rock, CO 80108 | 2012-03-06 |
| 1407166770 | Scott Ryan | Dentist | 850 Happy Canyon Road, Castle Rock, CO 80108 | 2010-10-20 |
| 1184817330 | Ralph Richard Trinque | Dentist | 7080 Campden Pl, Castle Pines, CO 80108 | 2007-08-21 |
| 1376761320 | D Michael Desimone I | Dentist | 718 Maleta Lane, Suite 102, Castle Rock, CO 80108 | 2007-04-23 |
| Find all providers in zip 80108 | ||||
| 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 |
|---|---|---|---|---|
| 1578060299 | Julia Rose Wiegand | Dentist | 2352 Meadows Blvd Ste 200, Castle Rock, CO 80109-8408 | 2018-04-09 |
| 1528398344 | Benzley Pediatric Dentistry, LLC | Dentist | 753 Maleta Ln Ste 104, Castle Rock, CO 80108-7605 | 2009-12-29 |
| 1922196682 | Purvi V Shah | Dentist | 361 Village Square Ln, 100, Castle Rock, CO 80108-3655 | 2006-10-10 |
| 1447692538 | Marc D. Thomas D.d.s., P.C. | Dentist | 4344 Woodlands Blvd, Suite 260, Castle Rock, CO 80104-2801 | 2013-07-18 |
| 1457550170 | Layne Benzley | Dentist | 753 Maleta Ln, Suite 104, Castle Rock, CO 80108-7605 | 2007-07-12 |
| 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 |
| 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 |
| 1316321557 | Hazha Ibrahim | Dentist | 5127 E Bridge St Ste B, Brighton, CO 80601-8318 | 2015-07-17 |
| Find all providers with the same taxonomy | ||||
| City | CASTLE ROCK |
| Zip Code | 80108 |
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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.