VANTAGE / DENVER P.C. (NPI# 1568770162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568770162 |
| Entity Type | Organization |
| Organization Name | VANTAGE / DENVER P.C. |
| Practice Address |
1699 S Colorado Blvd Building A, Suite J Denver CO 80222-4036 |
| Practice Telephone | 3036396000 |
| Mailing Telephone | 3036396000 |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |
| Authorized Official Name | LAURIE K SUMMERS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 3032856098 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
10196 | CO | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
10278 | CO | Dental Providers |
| Street Address |
1699 S COLORADO BLVD BUILDING A, SUITE J |
| City | DENVER |
| State | CO |
| Zip Code | 80222-4036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053639559 | Caitlin Marie Czezowski | Chiropractor | 1699 S Colorado Blvd, Unit M, Denver, CO 80222-4036 | 2010-05-07 |
| 1174841464 | Denver Spine LLC | Chiropractor | 1699 S Colorado Blvd, Unit M, Denver, CO 80222-4036 | 2010-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625389 | Vi-thuy Vo | Student in an Organized Health Care Education/Training Program | 4141 E Dickenson Pl # 264b, Denver, CO 80222 | 2019-08-19 |
| 1255827143 | Megan Whitehead | Nurse Practitioner | 2696 S Colorado Blvd Ste 110, Denver, CO 80222 | 2018-07-03 |
| 1255859732 | Kathleen Goldman | Occupational Therapist | 6343 E Girard Place, Unit 442, Denver, CO 80222 | 2017-09-05 |
| 1891213435 | Caron Cottman | Counselor | Maria Droste Counseling Center 1355 S Colorado Blvd., Denver, CO 80222 | 2017-09-04 |
| 1154846939 | Colorado Pain Practice, Pllc | Anesthesiology | 2696 S Colorado Blvd Ste 100, Denver, CO 80222 | 2017-08-14 |
| 1831610021 | Danielle V Jones | Counselor | 4141 E. Dickerson Place, Denver, CO 80222 | 2017-06-28 |
| 1629508247 | Capable Conversations, LLC | Speech-Language Pathologist | 3451 S Elm Street, Denver, CO 80222 | 2017-06-15 |
| 1235672031 | Julie Reichenberger, Ma, Lpc, Pllc | Counselor | 1780 South Bellaire Street, Suite 485, Denver, CO 80222 | 2016-11-28 |
| 1346797925 | Encompass Home Health of Colorado, LLC | Hospice Care, Community Based | 1355 S Colorado Blvd Ste 604, Denver, CO 80222 | 2016-09-01 |
| 1124574363 | Shannon Barfield | Case Manager/Care Coordinator | Mental Health Center of Denver 4141 E. Dickenson Pl, Denver, CO 80222 | 2016-08-28 |
| Find all providers in zip 80222 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679121404 | James W Makowski Dds PC | Dentist | 1220 S Parker Rd Ste 104, Denver, CO 80231-2166 | 2019-08-26 |
| 1932692589 | Glendale Oral Surgery PC | Dentist | 3955 E Exposition Ave Ste 520, Denver, CO 80209-5030 | 2018-06-08 |
| 1407215205 | John P Evanson | Dentist | 839 Kearney St, Denver, CO 80220-4523 | 2016-02-22 |
| 1003220260 | Michael Woodbeck | Dentist | 1707 Chestnut Pl Apt 621, Denver, CO 80202-6505 | 2014-06-16 |
| 1568752426 | Michael K. Rollert, Dds, LLC | Dentist | 2372 S Humboldt St, Denver, CO 80210-5113 | 2011-04-13 |
| 1326277906 | John Robert Nesiba | Dentist | 13701 E Mississippi Ave Ste 300, Denver, CO 80012 | 2009-07-05 |
| 1609027556 | Brian Fangman | Dentist | 1440 Blake St Ste 100, Denver, CO 80202-1475 | 2008-10-08 |
| 1790942829 | Anne Lorraine Stearns | Dentist | 1900 Little Raven St Apt 412, Denver, CO 80202-7173 | 2008-05-16 |
| 1245384304 | Cecil Bottenbley | Dentist | 1776 Lincoln St, Suite #820, Denver, CO 80203-1022 | 2007-01-23 |
| 1477621845 | Michael P Cosby | Dentist | 180 Adams St Ste 100, Denver, CO 80206-5222 | 2006-12-01 |
| Find all providers in DENVER | ||||
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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.