NORTHERN COLORADO ENDODONTICS (NPI# 1407205461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407205461 |
| Entity Type | Organization |
| Organization Name | NORTHERN COLORADO ENDODONTICS |
| Practice Address |
630 15th Ave Suite 301 Longmont CO 80501-2700 |
| Practice Telephone | 7204949363 |
| Practice Fax Number | 7204949364 |
| Mailing Telephone | 7204949363 |
| Mailing Fax Number | 7204949364 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |
| Authorized Official Name | BRADLEY LEVALLEY (PRESIDENT) |
| Authorized Official Telephone | 9702291404 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN COLORADO ENDODONTICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
7382 | CO | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | NORTHERN COLORADO ENDODONTICS, P.C. | 3744 S Timberline Rd, Suite 101, Fort Collins, CO 80525 |
| Street Address |
630 15TH AVE SUITE 301 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548188 | Kim Rae Lane | Specialist | 630 15th Ave, Suite 200, Longmont, CO 80501-2700 | 2005-09-19 |
| 1417596487 | Jennifer Dragge | Massage Therapist | 630 15th Ave, Longmont, CO 80501-2700 | 2019-12-23 |
| 1265712285 | Christine Anne Snyder | Acupuncturist | 630 15th Ave, Suite 102, Longmont, CO 80501-2700 | 2011-08-22 |
| 1235371311 | Hansonhealth LLC | Clinic/Center | 630 15th Ave, Suite 102, Longmont, CO 80501-2700 | 2009-04-03 |
| 1164639167 | Daniel P. Johnson | Dentist | 630 15th Ave, Ste 101, Longmont, CO 80501-2700 | 2007-05-17 |
| 1265650444 | Foster Chiropractic & Wellness Center, Pllc | Clinic/Center | 630 15th Ave, Suite 102, Longmont, CO 80501-2764 | 2007-04-23 |
| 1316060999 | Rocky Mountain Pain Relief Center | Pain Medicine | 630 15th Ave, Suite 104, Longmont, CO 80501-2700 | 2007-04-09 |
| 1699810846 | Sarah Poston | Nurse Practitioner | 630 15th Ave, Suite 104, Longmont, CO 80501-2700 | 2007-02-21 |
| 1588746879 | Brian Keith Foster | Chiropractor | 630 15th Ave, Suite 102, Longmont, CO 80501-2700 | 2006-10-19 |
| 1689779613 | Daniel J Barton Dmd Ms Prof LLC | Dentist | 630 15th Ave, Suite 301, Longmont, CO 80501 | 2006-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285152348 | Milroy Endodontics | Dentist | 1325 Dry Creek Dr Ste 302, Longmont, CO 80503-7751 | 2017-09-08 |
| 1689779613 | Daniel J Barton Dmd Ms Prof LLC | Dentist | 630 15th Ave, Suite 301, Longmont, CO 80501 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329047 | Front Range Endodontics, Pllc | Dentist | 2116 Hollow Brook Dr Ste 200, Colorado Springs, CO 80918-1790 | 2020-09-06 |
| 1205448107 | Avos Dental Specialists, Pllc | Dentist | 14769 W 87th Pkwy, Arvada, CO 80005-1454 | 2020-08-20 |
| 1003433251 | Ridgegate Endodontics, Pllc | Dentist | 10107 Ridgegate Pkwy # G020, Lone Tree, CO 80124-5637 | 2020-07-02 |
| 1518511146 | Colorado Dental Specialist Practice, LLC | Dentist | 18121 E Hampden Ave Unit E, Aurora, CO 80013-3591 | 2019-07-31 |
| 1447803382 | Jj Elevation, Pllc | Dentist | 10012 Coyote Song Ter, Colorado Springs, CO 80924-4504 | 2019-07-19 |
| 1992363444 | Ccdi Parker Pdc Pllc | Dentist | 10841 Crossroads Dr Ste 9, Parker, CO 80134-9090 | 2019-05-30 |
| 1134786403 | Safer,carr and Sachs, Dds,pc | Dentist | 155 Cook St Ste 301, Denver, CO 80206-5317 | 2019-05-22 |
| 1013573815 | Ccdi Denver Pdc Pllc | Dentist | 1573 S Broadway, Denver, CO 80210-2607 | 2019-05-16 |
| 1992279384 | Jared Smith, Professional LLC | Dentist | 17 County Road 68, Bailey, CO 80421 | 2019-01-18 |
| 1972000933 | Rocky Mountain Root Canal Specialist, Pllc | Dentist | 13762 Colorado Blvd Unit 154, Thornton, CO 80602-6919 | 2018-04-06 |
| Find all providers with the same taxonomy | ||||
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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.