JUST FOR GRINS LLC (NPI# 1205028941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205028941 |
| Entity Type | Organization |
| Organization Name | JUST FOR GRINS LLC |
| Practice Address |
6436 S Us Highway 85-87 Suite C Fountain CO 80817 |
| Mailing Address |
6436 S Us Highway 85-87 Suite C Fountain CO 80817-1005 |
| Practice Telephone | 7193925111 |
| Practice Fax Number | 7193924143 |
| Mailing Telephone | 7193925111 |
| Mailing Fax Number | 7193924143 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2018-05-30 |
| Authorized Official Name | TIM MONTANO (BUSINESS MANAGER) |
| Authorized Official Telephone | 7193925111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8170 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 31100058 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Just For Grins LLC | 6436 South Us Highway 85 87, Suite C, Fountain, CO 80817 |
| Street Address |
6436 S US HIGHWAY 85-87 SUITE C |
| City | FOUNTAIN |
| State | CO |
| Zip Code | 80817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477987279 | Mark Montano | Dentist | 6436 S Us Highway 85-87, Suite C, Fountain, CO 80817-1005 | 2013-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710591037 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - Md, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1619581998 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - App, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1417519885 | Hannah Louise Fiser | Occupational Therapist | 901 N Santa Fe Ave., Fountain, CO 80817 | 2019-07-05 |
| 1780172858 | Alonna Ku | Dental Hygienist | 8085 Fountain Mesa Road, Fountain, CO 80817 | 2018-04-24 |
| 1902308489 | Scott R Mathis Maintenance & Construction | Contractor | 7046 Stowe Circle, Fountain, CO 80817 | 2018-03-01 |
| 1578078952 | Joanne Marie Ortega | Dental Laboratory Technician | 8296 Firecracker Trl, Fountain, CO 80817 | 2017-12-07 |
| 1174058176 | Amy Rapp | Psychologist | 6885 Mesa Ridge Parkway, # 141, Fountain, CO 80817 | 2017-04-27 |
| 1063954063 | Tracey Lynn Daniels | Physician Assistant | 10513 Wells Pt, Fountain, CO 80817 | 2016-11-08 |
| 1811440860 | Hanover Fire Protection District | Ambulance | 13325 Old Pueblo Road, Fountain, CO 80817 | 2016-07-26 |
| 1356704001 | Fountain Chiropractic and Wellness Center | Chiropractor | 468 N. Santa Fe Ave, Fountain, CO 80817 | 2016-03-31 |
| Find all providers in zip 80817 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336512540 | Cheyenne Mountain Modern Dentistry, LLP | Dentist | 4451 Venetucci Blvd, Suite 160, Fountain, CO 80906 | 2015-11-10 |
| 1801234489 | Janica Joli Gillette-backstrom | Dentist | 6940 Mesa Ridge Parkway, Fountain, CO 80817 | 2013-06-05 |
| 1972828630 | Nathan Hal Barton | Dentist | 8085 Fountain Mesa Rd, Fountain, CO 80817-1591 | 2010-04-06 |
| 1760552491 | Fountain Dental Center, PC | Dentist | 320 S Santa Fe Ave, Fountain, CO 80817-1963 | 2006-11-09 |
| 1720171564 | Colorado Dental Professionals, LLC | Dentist | 6980 Mesa Ridge Parkway, Suite 200, Fountain, CO 80817 | 2006-10-02 |
| 1326013673 | Jeff O Johnson | Dentist | 200 Plaza Blvd, Fountain, CO 80817-2504 | 2006-02-21 |
| 1437120151 | George Ranta | Dentist | 6980 Mesa Ridge Pkwy, Suite 200, Fountain, CO 80817-1533 | 2006-01-30 |
| 1811541402 | My Local Colorado Dental Practice, LLC | Dentist | 8085 Fountain Mesa Rd, Fountain, CO 80817-1591 | 2019-07-31 |
| 1467661967 | Johnson and Associates Dds PC | Dentist | 200 Plaza Blvd, Fountain, CO 80817-2504 | 2007-05-21 |
| 1033246368 | George V. Ranta, D.d. S., A Professional Corporation | Dentist | 6980 Mesa Ridge Pkwy, Suite 200, Fountain, CO 80817-1563 | 2007-02-27 |
| Find all providers in FOUNTAIN | ||||
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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.