MY LOCAL COLORADO DENTAL PRACTICE, LLC (NPI# 1316591076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316591076 |
| Entity Type | Organization |
| Organization Name | MY LOCAL COLORADO DENTAL PRACTICE, LLC |
| Practice Address |
150 Morning Sun Dr Ste 200w Woodland Park CO 80863-9160 |
| Practice Telephone | 7194848490 |
| Mailing Telephone | 7194848490 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | MICHELLE JOHNSON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5093158338 |
| Is Organization Subpart | Y |
| Parent Organization Name | MY LOCAL COLORADO DENTAL PRACTICE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Woodland Park Dental Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952941650 | My Local Colorado Dental Practice, LLC | Dentist | 12031 Tejon St Ste 100, Westminster, CO 80234-2306 | 2020-01-10 |
| 1891335964 | My Local Colorado Dental Practice, LLC | Dentist | 1727 N Gilpin St, Denver, CO 80218-1205 | 2020-01-07 |
| 1245870336 | My Local Colorado Dental Practice, LLC | Dentist | 264 Union Blvd Ste 200, Lakewood, CO 80228-1970 | 2020-01-07 |
| 1396399069 | My Local Colorado Dental Practice, LLC | Dentist | 1691 Coalton Rd, Superior, CO 80027-4681 | 2019-07-30 |
| 1679127492 | My Local Colorado Dental Practice, LLC | Dentist | 200 Quebec St Unit 105, Denver, CO 80230-7144 | 2019-07-30 |
| 1265086920 | My Local Colorado Dental Practice, LLC | Dentist | 7505 E 35th Ave Unit 304, Denver, CO 80238-2460 | 2019-07-30 |
| 1376197046 | My Local Colorado Dental Practice, LLC | Dentist | 3541 E Harmony Rd Ste 130, Fort Collins, CO 80528-8816 | 2019-07-30 |
| 1043864705 | My Local Colorado Dental Practice, LLC | Dentist | 5021 S Jellison Way Unit C, Littleton, CO 80123-7377 | 2019-07-30 |
| 1528612298 | My Local Colorado Dental Practice, LLC | Dentist | 7685 Mclaughlin Rd Ste 100, Falcon, CO 80831-4751 | 2019-07-30 |
| 1417501180 | My Local Colorado Dental Practice, LLC | Dentist | 8410 Wadsworth Blvd Unit G, Arvada, CO 80003-0918 | 2019-07-30 |
| Street Address |
150 MORNING SUN DR STE 200W |
| City | WOODLAND PARK |
| State | CO |
| Zip Code | 80863-9160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096927 | Colorado Dental Specialist Practice, LLC | Dentist | 150 Morning Sun Dr Ste 200w, Woodland Park, CO 80863-9160 | 2019-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576867 | Poudre Valley Medical Group, LLC | Orthopaedic Surgery | 333 North West Street, Woodland Park, CO 80863 | 2020-07-23 |
| 1003461476 | Alive Connections Counseling, LLC | Community/Behavioral Health | 321 West Henrietta Avenue, Office D-8, Woodland Park, CO 80863 | 2019-08-02 |
| 1720630130 | Jennifer Fuller James | Social Worker | 400 W Midland Ave Ste 100h, Woodland Park, CO 80863 | 2019-07-15 |
| 1558861815 | Thrive Primary Care At Woodland Park LLC | Nurse Practitioner | 1067 Us 24, 276, Woodland Park, CO 80863 | 2018-02-13 |
| 1841712080 | Jamie Andersen | Marriage & Family Therapist | 321 W. Henrietta Ave, Suite B, Woodland Park, CO 80863 | 2017-07-10 |
| 1720438492 | Laurie Kim Warchol | Counselor | 321 West Henrietta, Woodland Park, CO 80863 | 2016-06-14 |
| 1255788402 | Colorado Lions Camp Inc | Respite Care | 28541 Highway 67, Wooodand Park, CO 80863 | 2016-05-18 |
| 1619337193 | Ariana Papi | Specialist/Technologist, Other | 16240 W Hwy 24, Woodland Park, CO 80863 | 2016-02-26 |
| 1104281864 | Daybreak-an Adult Day Program | Respite Care | 404 North Highway 67, Woodland Park, CO 80863 | 2015-12-23 |
| 1104281906 | Kingdom Pediatric Therapy | Speech-Language Pathologist | 1067 E Us Hwy, Pmb 72, Woodland Park, CO 80863 | 2015-12-21 |
| Find all providers in zip 80863 | ||||
| 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 |
|---|---|---|---|---|
| 1538442124 | Chad Joseph Carubia | Dentist | 150 Morning Sun Drive, Eagle's Nest, Suite 200 West, Woodland Park, CO 80866 | 2011-09-21 |
| 1730371485 | Dorsey Dental Care, Inc. | Dentist | 491 Forest Edge Rd, Woodland Park, CO 80863-2499 | 2007-08-16 |
| 1093860769 | Robert Charles Elliott | Dentist | 101 Sundial Dr Ste A, Woodland Park, CO 80863-7769 | 2007-01-24 |
| 1457453151 | Terry Dorsey Balthazor | Dentist | 491 Forest Edge Road, Woodland Park, CO 80863-2499 | 2006-09-02 |
| 1902804016 | Patrick Boyd Thomson | Dentist | 207 N. West St., Woodland Park, CO 80866 | 2005-07-12 |
| 1821697400 | Sparkle Dentistry Center LLC | Dentist | 281 Browertown Rd, Woodland Park, NJ 07424-2658 | 2020-10-23 |
| 1083071047 | Jmj IIi | Dentist | 491 Forest Edge Rd, Woodland Park, CO 80863-2499 | 2016-01-21 |
| 1174758833 | Dental Associates At Eagle's Nest | Dentist | 150 Morning Sun Dr, Ste. 200 West, Woodland Park, CO 80863-9160 | 2009-05-26 |
| 1366595308 | Jeffrey Ruggiero | Dentist | 205 Browertown Rd, Suite 004, Woodland Park, NJ 07424-2671 | 2007-01-22 |
| 1093737421 | Brent K Morrill | Dentist | 451 Rampart Range Rd, Woodland Park, CO 80866 | 2006-07-24 |
| Find all providers in WOODLAND PARK | ||||
| City | WOODLAND PARK |
| Zip Code | 80863 |
Please comment or provide details below to improve the information on MY LOCAL COLORADO DENTAL PRACTICE, LLC.
| 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.