RIDGEVIEW PEDIATRIC DENTISTRY PC (NPI# 1417260787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417260787 |
| Entity Type | Organization |
| Organization Name | RIDGEVIEW PEDIATRIC DENTISTRY PC |
| Practice Address |
14697 Delaware St Bldg. B, Suite #210 Westminster CO 80023-9178 |
| Practice Telephone | 3036500310 |
| Practice Fax Number | 3036500311 |
| Mailing Telephone | 3036500310 |
| Mailing Fax Number | 3036500311 |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |
| Authorized Official Name | CARA LYNN MUDD (OWNER/DENTIST) |
| Authorized Official Telephone | 3036500310 |
| Authorized Official Credential | DDS, MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
8289 | CO | Ambulatory Health Care Facilities |
| Street Address |
14697 DELAWARE ST BLDG. B, SUITE #210 |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80023-9178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598109613 | Sarah Elizabeth Glatt Villasenor | Dentist | 14697 Delaware St, #210, Westminster, CO 80023-9178 | 2013-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793803 | Alexis Marie Gerry | Dentist | 13606 Xavier Lane Suite B, Broomfield, CO 80023 | 2020-09-04 |
| 1023646973 | Jonathan Michael Dill | Student in an Organized Health Care Education/Training Program | 14300 Orchard Parkway - 1st Floor, Westminster, CO 80023 | 2020-03-27 |
| 1821624594 | Kelley Stephenson | Social Worker | 469 Co-7, Broomfield, CO 80023 | 2020-03-13 |
| 1205482031 | Visionary Eye Care, Pllc | Optometrist | 16860 Sheridan Parkway, Unit 106, Broomfield, CO 80023 | 2019-08-16 |
| 1104387810 | Daniel Ojala | Student in an Organized Health Care Education/Training Program | 14300 Orchard Pkwy, 1 St Floor, Westminster, CO 80023 | 2019-03-26 |
| 1184102527 | Kristina Elizabeth Rainwater | Occupational Therapist | 3303 W 144th Ave #207, Broomfield, CO 80023 | 2018-07-28 |
| 1689122467 | Jane Vela | Physical Therapist | 14866 Falcon Drive, Broomfield, CO 80023 | 2016-09-21 |
| 1134573850 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 500 W 144th Ave Ste 200, Westminster, CO 80023 | 2016-04-19 |
| 1235541426 | Hearthside Dentistry | Dentist | 16578 N Washington St, Thornton, CO 80023 | 2014-05-22 |
| 1295168698 | Christina O Mcmillon Dentistry, Pllc | Dentist | 16578 North Washington St, Thornton, CO 80023 | 2013-08-21 |
| Find all providers in zip 80023 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801352851 | Hope Pediatric Dentistry, Pllc | Clinic/Center | 5724 W. 89th Avenue, Westminster, CO 80031 | 2019-02-14 |
| 1366912180 | My Local Colorado Dental Practice, LLC | Clinic/Center | 2721 W 120th Ave Ste 200, Westminster, CO 80234-2946 | 2018-12-05 |
| 1609346212 | Daniel A. Nguyen, Dds, Inc. | Clinic/Center | 14091 Goldenwest St, Westminster, CA 92683-3720 | 2018-11-27 |
| 1174099014 | Eric A. Winter, D.d.s., P.C. | Clinic/Center | 11961 Bradburn Blvd Unit 200, Westminster, CO 80031-5088 | 2018-10-18 |
| 1952817314 | Emad Moawad Dental Corporation | Clinic/Center | 7631 Westminster Blvd. #a, Westminster, CA 92683 | 2017-12-21 |
| 1992216717 | Cornerstone Dentistry | Clinic/Center | 14120 Beach Blvd. #212, Westminster, CA 92683 | 2017-10-19 |
| 1124571617 | Smile Rockers, Pllc | Clinic/Center | 4955 W 72nd Ave Unit L1, Westminster, CO 80030-5146 | 2016-08-01 |
| 1073998100 | Quiram Family Dental Professional LLC | Clinic/Center | 2721 W 120th Ave Ste A200, Westminster, CO 80234-3289 | 2015-07-30 |
| 1821390071 | Dr. D. Dental | Clinic/Center | 10451 Bolsa Ave Ste 110, Westminster, CA 92683-6756 | 2010-11-20 |
| 1912992207 | Myers Family Dentistry | Clinic/Center | 211 Washington Heights Med Ctr, Westminster, MD 21157-5632 | 2005-09-13 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80023 |
Please comment or provide details below to improve the information on RIDGEVIEW PEDIATRIC DENTISTRY PC.
| 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.