DR. MELISSA WILSON VENRICK (NPI# 1417095894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417095894 |
| Entity Type | Individual |
| Full Name | DR. MELISSA WILSON VENRICK |
| Credential | DDS |
| Practice Address |
1055 17th Ave Ste 103 Longmont CO 80501-2647 |
| Practice Telephone | 3036517771 |
| Practice Fax Number | 3036511435 |
| Mailing Telephone | 3036517771 |
| Mailing Fax Number | 3036511435 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7430 | CO | Dental Providers |
| Street Address |
1055 17TH AVE STE 103 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-2647 |
| 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 | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568797256 | Stephanie Ross | Dentist | 1520 S Hover Rd, Longmont, CO 80501-7959 | 2009-10-13 |
| 1043454317 | Laurel Rae Leslie-martin | Dentist | 1361 Francis St Ste 104, Longmont, CO 80501-2545 | 2009-04-29 |
| 1063570760 | Richard L Mcmanaman | Dentist | 1600 Hover St, Suite D-1, Longmont, CO 80501-2462 | 2006-12-05 |
| 1780613778 | F Richard Beckwith | Dentist | 1800 Mountain View Ave, Longmont, CO 80501-3212 | 2006-07-02 |
| 1588160113 | Sara Dean Schutte | Dentist | 1739 Main St, Longmont, CO 80501-2035 | 2018-04-03 |
| 1669890125 | John Michael Durussel | Dentist | 1739 Main St, Longmont, CO 80501-2035 | 2014-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996641 | Simko Orthodontics of Colorado, PC | Dentist | 6850 E Hampden Ave Ste 201, Denver, CO 80224-3024 | 2020-09-09 |
| 1457977407 | Ingrid De La Torre | Dentist | 16533 E 49th Ave Apt 208, Denver, CO 80239-5884 | 2020-06-24 |
| 1205450525 | David Wayne Hamula | Dentist | 1860 Woodmoor Dr Ste 200, Monument, CO 80132-9073 | 2020-06-02 |
| 1285260927 | Johnson Orthodontics | Dentist | 5850 Tutt Center Pt Ste 100, Colorado Springs, CO 80922-3520 | 2020-03-13 |
| 1003441049 | Johnson Orthodontics | Dentist | 15435 Gleneagle Dr Ste 210, Colorado Springs, CO 80921-2542 | 2020-03-10 |
| 1396379012 | Ascend Group Pllc | Dentist | 700 W Eisenhower Blvd Ste 100&110, Loveland, CO 80537-3105 | 2020-03-03 |
| 1720619497 | Irina Sharp | Dentist | 2200 E 104th Ave Ste 112, Thornton, CO 80233-4402 | 2020-01-30 |
| 1871124651 | Jeffrey L Collins Dds PC | Dentist | 19700 E Parker Square Dr Ste C, Parker, CO 80134-7300 | 2020-01-30 |
| 1740829290 | Charles F Reed Dds Ms PC | Dentist | 20971 E Smoky Hill Rd Ste 200, Centennial, CO 80015-5187 | 2020-01-02 |
| 1790324770 | Pine Top Orthodontics PC | Dentist | 9475 Briar Village Pt Ste 315, Colorado Springs, CO 80920-7905 | 2019-12-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MELISSA WILSON VENRICK.
| 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.