PROFESSIONAL DENTAL CARE OF NEW MEXICO (NPI# 1477151173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477151173 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL DENTAL CARE OF NEW MEXICO |
| Practice Address |
10233 S Parker Rd Ste 107 Parker CO 80134-9314 |
| Practice Telephone | 3038878848 |
| Mailing Telephone | 3038878848 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | CARY LACOUTURE (OWNER) |
| Authorized Official Telephone | 3035215701 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Devine Dental of Las Vegas | Doing Business As Name - Organization |
| Divine Dental of Santa Fe | Doing Business As Name - Organization |
| Street Address |
10233 S PARKER RD STE 107 |
| City | PARKER |
| State | CO |
| Zip Code | 80134-9314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821560731 | Michaela Cox | Massage Therapist | 18551 E Mainstreet #103, Suite 15, Parker, CO 80134 | 2018-12-18 |
| 1376038315 | Danielle Rene Adamson | Audiologist | 11211 South Bransfeltd Road, Parker, CO 80134 | 2018-06-22 |
| 1316431042 | Michael Petrie | Massage Therapist | 10841 S Crossroads Drive, Suite 17, Parker, CO 80134 | 2018-06-16 |
| 1942729942 | Anthony Bricker | Specialist/Technologist | 5303 Territorial Street, Parker, CO 80134 | 2017-09-12 |
| 1609394238 | Mountain Peak Counseling | Counselor | 12760 Stroh Ranch Way Suite 201, Parker, CO 80134 | 2017-09-04 |
| 1013448497 | Cvs Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 16920 Lincoln Ave, Parker, CO 80134 | 2017-03-27 |
| 1043759921 | Timothy Michael Loar | Physical Therapist | 19964 E. Hilltop Rd, Suite B, Parker, CO 80134 | 2017-02-13 |
| 1851842835 | Carla S Bradburn | Counselor | 9581 Pearl Circle, #105, Parker, CO 80134 | 2016-10-14 |
| 1942653258 | West Coast Neuro | Specialist/Technologist, Other | 10940 S Parker Rd # 503, Parker, CO 80134 | 2016-07-21 |
| 1487036950 | Amber Abrams | Nurse Practitioner | 4251 Twenty Mile Rd, Parker, CO 80134 | 2015-06-22 |
| Find all providers in zip 80134 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615556 | Vida Orthodontics | Clinic/Center | 19551 Hess Rd Unit 110, Parker, CO 80134-3446 | 2020-10-07 |
| 1114537735 | Professional Dental Care of Northern Colorado I Pllc | Clinic/Center | 13097 S Parker Rd, Parker, CO 80134-7447 | 2020-08-07 |
| 1790394138 | Professional Dental Care of Central Colorado I Pllc | Clinic/Center | 13097 S Parker Rd Unit A, Parker, CO 80134-7447 | 2020-07-30 |
| 1205470549 | Christina Pham Dds, LLC | Clinic/Center | 9328 Jordan Rd Unit 109, Parker, CO 80134-9313 | 2019-10-30 |
| 1316581739 | Front Range Family Smiles, Pllc | Clinic/Center | 18551 E Mainstreet # 107, Parker, CO 80134-4951 | 2019-10-29 |
| 1932754686 | Christopher Green Dmd Pllc | Clinic/Center | 19551 Hess Rd # 100, Parker, CO 80134-3448 | 2019-08-08 |
| 1235536046 | Smilecare | Clinic/Center | 10521 S Parker Rd Ste E, Parker, CO 80134-9079 | 2014-11-21 |
| 1790395515 | Joseph Stoll, Dds, PC | Clinic/Center | 10345 Parkglenn Way Ste 200, Parker, CO 80138-3884 | 2020-08-06 |
| 1417587411 | Devin K Rentz Dds PC | Clinic/Center | 17021 Lincoln Ave Unit B, Parker, CO 80134-3146 | 2020-01-19 |
| 1316449523 | Integrative Dental Solutions, Pllc | Clinic/Center | 19751 E Mainstreet Ste R8, Parker, CO 80138-7392 | 2018-03-03 |
| Find all providers in PARKER | ||||
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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.