FAMILY DENTISTRY (NPI# 1558607242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558607242 |
| Entity Type | Organization |
| Organization Name | FAMILY DENTISTRY |
| Other Organization Name | COLLIS JOHNSON JR DDS |
| Practice Address |
1756 Vine Street Denver CO 80206 |
| Practice Telephone | 3033221177 |
| Practice Fax Number | 3033221199 |
| Mailing Telephone | 3033221177 |
| Mailing Fax Number | 3033221199 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |
| Authorized Official Name | DR. COLLIS JOHNSON JR. (DENTIST/OWNER) |
| Authorized Official Telephone | 3033221177 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
104176 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02014769 | 05 |
| Other Name | Type Code |
|---|---|
| Collis Johnson Jr DDS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558744995 | Family Dentistry | Dentist | 1618 N 5th St Ste 2, Ponca City, OK 74601-2764 | 2015-07-02 |
| 1508114984 | Family Dentistry | Clinic/Center | 650 Central Ave Ste I, Alameda, CA 94501-7803 | 2012-08-16 |
| 1053608042 | Family Dentistry | Dentist | 10655 State Road 662, Newburgh, IN 47630 | 2011-06-29 |
| 1871743682 | Family Dentistry | Dentist | 1810 Knox Ave Ste A, North Augusta, SC 29841-2903 | 2008-09-29 |
| 1053582908 | Family Dentistry | Dentist | 489 Western Ave, Albany, NY 12203 | 2008-03-19 |
| 1770752073 | Family Dentistry | Dentist | 1163 Seay Ave, Boaz, AL 35957-6242 | 2008-02-21 |
| 1710101548 | Family Dentistry | Dentist | 701 C 7th Street, Mena, AR 71953 | 2007-04-12 |
| 1588641344 | Family Dentistry | Clinic/Center | 3000 Hungary Spring Road, Richmond, VA 23228 | 2005-12-22 |
| 1487090411 | Family Dentistry | Dentist | 16018 Amar Rd, City of Industry, CA 91744-2203 | 2013-05-16 |
| 1316292097 | Family Dentistry | Dentist | 1756 Vine St, Denver, CO 80206-1120 | 2012-07-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY DENTISTRY | 421 Main St, Polson, MT 59860-2123 |
| Virginia Business Entities | Family Dentistry Gregory S. DiRenzo DMD P.C. | 540 East Main Street, Purcellville, Virginia 20132 |
| Indiana Business Entities | FAMILY DENTISTRY INC | 2006 N Main St, Mishawaka, IN 46545 |
| New York State Corporations | FAMILY DENTISTRY OF BRIARCLIFF, PLLC | 11 Martine Avenue, 12th Floor, White Plains, Ny 10606 |
| Connecticut Business Registrations | Family Dentistry of Bridgeport P. C. | 90 Brooklawn Ave, Bridgeport, CT 06604 |
| Connecticut Business Registrations | FAMILY DENTISTRY OF DERBY P.C. | 115 New Haven Ave, Derby, CT 06418 |
| New York State Corporations | FAMILY DENTISTRY OF DR. JESSICA SHIN, PLLC | 365 Aviation Rd, Queensbury, Ny 12804 |
| Oregon Corporations, Companies and Business Names | FAMILY DENTISTRY OF GOLD BEACH, INC. | 29814 Ellensburg, Gold Beach, OR 97444 |
| Connecticut Business Registrations | FAMILY DENTISTRY OF HARTFORD PLLC | 19 Woodland Street, Suite 25, Hartford, CT 06105 |
| System for Award Management (SAM) Entities | FAMILY DENTISTRY OF HOUSTON PC | 13145 Veterans Memorial Dr, Houston, TX 77014-1903 |
| Street Address |
1756 VINE STREET |
| City | DENVER |
| State | CO |
| Zip Code | 80206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831291855 | Collis Johnson Jr. | Dentist | 1756 Vine Street, Denver, CO 80206 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609495373 | Mindy Lieberman | Behavior Technician | 1151 Monroe St. #2, Denver, CO 80206 | 2020-04-13 |
| 1356992879 | Danielle Higgins | Counselor | 3003 E 3rd Ave # B-106, Denver, CO 80206 | 2019-09-25 |
| 1396224788 | Neuro Interpretive Services LLC | Clinic/Center | 700 Colorado Blvd Ste 668, Denver, CO 80206 | 2018-08-07 |
| 1578072252 | Ashleigh Rankin | Social Worker | 1890 Gaylord Street, Denver, CO 80206 | 2017-09-25 |
| 1407379092 | Todd C. Ognibene | Psychologist | 1544 York Street, Third Floor, Denver, CO 80206 | 2017-07-25 |
| 1104363811 | Zhanna Bayerman | In Home Supportive Care | 3222 E. 1st Ave, # 725, Denver, CO 80206 | 2017-01-20 |
| 1467995340 | Julie Huff | Massage Therapist | 155 Cook, 351, Denver, CO 80206 | 2016-11-28 |
| 1457807778 | Amrita Singh Comer | Nursing Care | 2111 Champa Street, Denver, CO 80206 | 2016-08-28 |
| 1245683952 | Emily Rose Popiel | Psychologist | 3107 East Colfax Avenue, Denver, CO 80206 | 2016-07-18 |
| 1689036998 | Emma Jean Maki-gianani | Counselor | 2925 E. Colfax, Denver, CO 80206 | 2016-03-25 |
| Find all providers in zip 80206 | ||||
| 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 |
|---|---|---|---|---|
| 1124632575 | Kristine Villanueva | Dentist | 18620 Green Valley Ranch Blvd, Denver, CO 80249-6843 | 2020-09-03 |
| 1801406087 | Victoria Ton | Dentist | 925 S Niagara St Ste 480, Denver, CO 80224-1681 | 2020-08-03 |
| 1841817400 | Wesley Stanton | Dentist | 3773 Cherry Creek Drive N, Denver, CO 80209 | 2020-06-30 |
| 1174149280 | Lakshmi R Reddy | Dentist | 18607 Green Valley Ranch Blvd Unit 104, Denver, CO 80249-8372 | 2020-06-24 |
| 1134754278 | Nadeen Ibrahim | Dentist | 2466 S Colorado Blvd Ste 102, Denver, CO 80222-5931 | 2020-03-09 |
| 1174154397 | Thaddeus J Mcalpin | Dentist | 4422 Iran St, Denver, CO 80249-7304 | 2020-01-27 |
| 1891335964 | My Local Colorado Dental Practice, LLC | Dentist | 1727 N Gilpin St, Denver, CO 80218-1205 | 2020-01-07 |
| 1679127492 | My Local Colorado Dental Practice, LLC | Dentist | 200 Quebec St Unit 105, Denver, CO 80230-7144 | 2019-07-30 |
| 1265086920 | My Local Colorado Dental Practice, LLC | Dentist | 7505 E 35th Ave Unit 304, Denver, CO 80238-2460 | 2019-07-30 |
| 1174185854 | Cody Grant Jorgenson | Dentist | 100 Acoma St Ste 2, Denver, CO 80223-1464 | 2019-07-02 |
| Find all providers in DENVER | ||||
Please comment or provide details below to improve the information on FAMILY DENTISTRY.
| 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.