CHASE EDWARDS (NPI# 1538542741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538542741 |
| Entity Type | Individual |
| Full Name | CHASE EDWARDS |
| Credential | D.D.S. |
| Practice Address |
1055 17th Ave Suite 104 Longmont CO 80501-2680 |
| Practice Telephone | 3037761335 |
| Practice Fax Number | 3037767516 |
| Mailing Telephone | 3037761335 |
| Mailing Fax Number | 3037767516 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DEN.00202571 | CO | Dental Providers |
| Street Address |
1055 17TH AVE SUITE 104 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-2680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638833 | Craig J Hovick | Dentist | 1055 17th Ave, Ste 101, Longmont, CO 80501-2647 | 2005-06-10 |
| 1922474030 | Happy Feet Podiatry, P.C. | Clinic/Center | 1055 17th Ave, Suite 201, Longmont, CO 80501-2680 | 2015-08-12 |
| 1386085520 | Comprehensive Aesthetic Dental Associates LLC | Dentist | 1055 17th Ave, Suite 104, Longmont, CO 80501-2680 | 2013-07-16 |
| 1609190032 | Caleb Roy Baker | Podiatrist | 1055 17th Ave, Suite 201, Longmont, CO 80501-2680 | 2010-03-14 |
| 1598821332 | Robert J Ahern | Dentist | 1055 17th Ave, Ste 202, Longmont, CO 80501-2680 | 2006-12-28 |
| 1235146176 | John T Bauman | Dentist | 1055 17th Ave, 92, Longmont, CO 80501-2680 | 2006-08-02 |
| 1144280462 | David Michael Rothbard | Dentist | 1055 17th Ave, Suite 93, Longmont, CO 80501-2680 | 2006-03-23 |
| 1457349664 | Todd Michael Roby | Dentist | 1055 17th Ave, Suite 203, Longmont, CO 80501-2680 | 2005-10-11 |
| 1942297148 | Jay Clinton Mills | Dentist | 1055 17th Ave, Suite 203, Longmont, CO 80501-2647 | 2005-10-03 |
| 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 | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780134999 | Twin Peaks Dental & Orthodontics | Dentist | 1325 Dry Creek Dr Ste 206, Longmont, CO 80503-7748 | 2016-10-12 |
| 1134504624 | Patrick Barone | Dentist | 1610 Pace St Unit 100, Longmont, CO 80504-2239 | 2015-07-25 |
| 1477818052 | Kory Wallin | Dentist | 1100 Ken Pratt Blvd Ste E, Longmont, CO 80501-6380 | 2012-07-10 |
| 1902191737 | Ryan Jon Bond | Dentist | 1361 Francis St Ste 202, Longmont, CO 80501-2545 | 2011-06-09 |
| 1336316686 | Alan Joseph Kusek | Dentist | 319 Belview Ct, Longmont, CO 80501-4779 | 2008-05-14 |
| 1508030750 | Oral and Maxillofacial Surgery of Longmont LLC | Dentist | 1361 Francis Street, Suite 101, Longmont, CO 80501 | 2008-04-18 |
| 1417006875 | Julie Ann Devlin | Dentist | 1739 Main St, Longmont, CO 80501-2035 | 2007-01-08 |
| 1366511644 | James A Maurer | Dentist | 2350 17th Ave, Suite 204, Longmont, CO 80503-1737 | 2006-11-08 |
| 1689780637 | Stephen Paul Sampson | Dentist | 1246 N. Main St., Longmont, CO 80501-4141 | 2006-08-22 |
| 1467464461 | Jack Harmon Dunn | Dentist | 739 Emery St, Longmont, CO 80501 | 2006-08-12 |
| Find all providers in LONGMONT | ||||
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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.