OrganizationActive
Tequila Sunrise Broomfield PLLC
NPI 1124793476 · General Practice Dentistry · Broomfield, CO
Tequila Sunrise Broomfield PLLC is a General Practice Dentistry organization in Broomfield, CO (NPI 1124793476).
Provider details
- NPI number
- 1124793476
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kaushal Dhawan, Dentist(417) 379-7923
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5015 W 120th Ave
Broomfield, CO 80020-5606
Phone: (303) 466-2935
Street-level locationGet directions
Mailing address
5015 W 120th Ave
Broomfield, CO 80020-5606
Other names (DBA / former)
- Doing business as
- Dental and Implant Centers of Colorado
Registry dates
- Enumerated
- 2021-08-10
- Last updated
- 2021-08-10
- Certified
- 2021-08-10
Frequently asked questions
- What is Tequila Sunrise Broomfield PLLC's NPI number?
- Tequila Sunrise Broomfield PLLC's National Provider Identifier (NPI) is 1124793476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tequila Sunrise Broomfield PLLC?
- Tequila Sunrise Broomfield PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Tequila Sunrise Broomfield PLLC located?
- Tequila Sunrise Broomfield PLLC's practice location on file with NPPES is 5015 W 120th Ave, Broomfield, CO 80020-5606.
- What is Tequila Sunrise Broomfield PLLC's phone number?
- The practice phone number listed in the NPPES registry for Tequila Sunrise Broomfield PLLC is (303) 466-2935.
- Who is the authorized official for Tequila Sunrise Broomfield PLLC?
- The authorized official listed on Tequila Sunrise Broomfield PLLC's NPPES record is Kaushal Dhawan, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tequila Sunrise Broomfield PLLC's NPI active?
- Yes — Tequila Sunrise Broomfield PLLC's NPI (1124793476) is active in the NPPES registry as of the last update on 2021-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.