WALNUT CREEK DENTAL GROUP AND ORTHODONTICS, LLP (NPI# 1487891305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487891305 |
| Entity Type | Organization |
| Organization Name | WALNUT CREEK DENTAL GROUP AND ORTHODONTICS, LLP |
| Other Organization Name | WALNUT CREEK DENTAL GROUP AND ORTHODONTICS |
| Practice Address |
10442 Town Center Dr Suite 100 Westminster CO 80021-6070 |
| Mailing Address |
2860 Michelle 2nd Floor Irvine CA 92606-1009 |
| Practice Telephone | 3034104950 |
| Practice Fax Number | 3036485772 |
| Mailing Telephone | 7143682077 |
| Mailing Fax Number | 7143682092 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |
| Authorized Official Name | DR. CHARLES F RODGERS (OWNER DOCTOR) |
| Authorized Official Telephone | 3034104950 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| WALNUT CREEK DENTAL GROUP AND ORTHODONTICS | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Walnut Creek Dental Group and Orthodontics, LLP | 17000 Red Hill Avenue, Irvine, CA 92614 |
| Street Address |
10442 TOWN CENTER DR SUITE 100 |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80021-6070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890902 | Jennifer Lynn Krueger | Optometrist | 10442 Town Center Dr, Westminster, CO 80021-6085 | 2020-10-28 |
| 1962764068 | Melissa Ann Goodpaster | Dentist | 10442 Town Center Dr, Westminster, CO 80021-6070 | 2012-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941934 | Denver Restorative Dentistry Pllc | Dentist | 8181 Arista Place, Suite 140, Broomfield, CO 80021 | 2019-09-19 |
| 1205490398 | Amber Kay Kisser | Occupational Therapist | 7770 W 101st Ave, Westminster, CO 80021 | 2019-04-24 |
| 1871093138 | Samantha Ewing | Audiologist | 403 Summit Blvd., # 204, Broomfield, CO 80021 | 2018-02-13 |
| 1568978914 | Denver Recovery Center, LLC | Clinic/Center | 295 Interlocken Blvd Ste 400, Broomfield, CO 80021 | 2017-12-21 |
| 1730601477 | Elaine H Kim | Audiologist | 120 Edgeview Dr., Unit 6220, Broomfield, CO 80021 | 2017-07-14 |
| 1245605575 | Profound Fitness, LLC | Day Training, Developmentally Disabled Services | 7721 W 92nd Ave, Westminster, CO 80021 | 2015-12-11 |
| 1558785634 | Nichelle Francavilla Gurule | Chiropractor | 11336 W 104th Ave, Westminster, CO 80021 | 2014-02-10 |
| 1255770244 | Martha Ha | Dentist | 645 Flatiron Marketplace Dr Unit A, Broomfield, CO 80021 | 2013-06-23 |
| 1467737841 | Nathaniel Weidner | Pharmacist | 10350 Dover St. D28, Westminster, CO 80021 | 2011-10-17 |
| 1346475209 | Christine Marie Maren | Family Medicine | 8181 Arista Pl Unit 100, Broomfield, CO 80021 | 2009-05-21 |
| Find all providers in zip 80021 | ||||
| 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 |
|---|---|---|---|---|
| 1245850114 | 92nd & Wads Comfort Partners | Dentist | 7743 W. 92nd Avenue, Westminster, CO 80030 | 2020-04-21 |
| 1457985004 | Jillian Dubuisson | Dentist | 9726 Ames St, Westminster, CO 80020-5706 | 2020-02-22 |
| 1952941650 | My Local Colorado Dental Practice, LLC | Dentist | 12031 Tejon St Ste 100, Westminster, CO 80234-2306 | 2020-01-10 |
| 1972154607 | Composite Whisperer, Pllc | Dentist | 905 W 124th Ave Ste 120, Westminster, CO 80234-1718 | 2019-09-24 |
| 1467925990 | Alexandre Maymone | Dentist | 10071 Wadsworth Pkwy Ste 100, Westminster, CO 80021-3851 | 2019-01-08 |
| 1669957213 | Bmt Smiles Pllc | Dentist | 14215 Orchard Pkwy Ste 100, Westminster, CO 80023-9200 | 2018-09-30 |
| 1619429693 | All Smiles Dental | Dentist | 9361 Bolsa Avenue, Suite #102, Westminster, CA 92683 | 2016-10-26 |
| 1104270883 | Mountain View Family Dental Westminster Pllc | Dentist | 14697 Delaware St # 260b, Westminster, CO 80023-9178 | 2016-04-19 |
| 1194192831 | Tuong Vi Thi Nguyen | Dentist | 16517 Magnolia Street, Westminster, CA 92683 | 2015-08-28 |
| 1245610351 | Betty Yip | Dentist | 14422 Orchard Pkwy Ste 100, Westminster, CO 80023-9273 | 2015-06-03 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80021 |
Please comment or provide details below to improve the information on WALNUT CREEK DENTAL GROUP AND ORTHODONTICS, LLP.
| 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.