BREATHE DENTAL, LLC (NPI# 1578090924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578090924 |
| Entity Type | Organization |
| Organization Name | BREATHE DENTAL, LLC |
| Other Organization Name | TABLE MOUNTAIN DENTAL GROUP |
| Practice Address |
6410 Miller St # 15 Arvada CO 80004-2833 |
| Mailing Address |
14333 W 48th Pl Golden CO 80403-1797 |
| Practice Telephone | 7208229059 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |
| Authorized Official Name | DR. CRAIG M CARDON (OWNER/PRESIDENT) |
| Authorized Official Telephone | 7208229059 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 202212 | CO | Dental Providers |
| Other Name | Type Code |
|---|---|
| Table Mountain Dental Group | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Breathe Dental, LLC | 6410 Miller St. #15, Arvada, CO 80004 |
| Street Address |
6410 MILLER ST # 15 |
| City | ARVADA |
| State | CO |
| Zip Code | 80004-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598921876 | Craig M Cardon | Dentist | 6410 Miller St # 15, Arvada, CO 80004 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503194 | Flynn Behavior Associates | Behavioral Analyst | 13185 W 62nd Place, Arvada, CO 80004 | 2019-02-06 |
| 1124543384 | Zoe Denver Nelson | Counselor | 9850 W 59th Pl, Arvada, CO 80004 | 2017-08-09 |
| 1982134573 | Cynthia Jean Keefover | Physical Therapy Assistant | 6625 Union St, Arvada, CO 80004 | 2017-06-15 |
| 1235680257 | Uma Sitaula | Nurse Practitioner | 12650 W 64th Ave Unit E 105, Arvada, CO 80004 | 2016-10-14 |
| 1124494091 | Alan Ross Hofman | Physical Therapist | 5945 Ward Rd Ste 110, Arvada, CO 80004 | 2015-08-14 |
| 1770969917 | Jennifer Lynn Johnson | Day Training/Habilitation Specialist | 6725 Yarrow St., Arvada, CO 80004 | 2015-08-10 |
| 1649680414 | Johanna Meister | Community Health Worker | 7603 Robinson Way, Arvada, CO 80004 | 2014-05-02 |
| 1922346915 | Ashley L Saylor | Chiropractor | 10050 Ralston Rd. Suite E, Arvada, CO 80004 | 2013-01-25 |
| 1225382906 | Alison Schut | Nurse Practitioner | 12650 W 64th Ave Ste E501, Arvada, CO 80004 | 2012-11-02 |
| 1881984102 | Green Leaf Massage Center. LLC | Health Maintenance Organization | 11890 W.64th Avenue, Arvada, CO 80004 | 2011-04-08 |
| Find all providers in zip 80004 | ||||
| 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 |
|---|---|---|---|---|
| 1285151290 | Sage Dentistry Vi | Dentist | 8725 Wadsworth Blvd Ste B, Arvada, CO 80003-0922 | 2017-08-30 |
| 1891146635 | Jeremy Michael Barkoff | Dentist | 7768 Vance Dr Ste A, Arvada, CO 80003-2153 | 2016-06-23 |
| 1629429444 | Jeramiah Paylor | Dentist | 18068 W 92nd Ln Unit 100, Arvada, CO 80007-8162 | 2016-06-22 |
| 1215215249 | Nishma Shirish Shah | Dentist | 14807 W 64th Ave Unit C, Arvada, CO 80007-0104 | 2011-07-25 |
| 1801041587 | Lindsay May Compton | Dentist | 8595 Ralston Road, Arvada, CO 80002 | 2008-11-23 |
| 1205036126 | Jesse Marron Jenkins | Dentist | 13739 W 85th Dr, Arvada, CO 80005-5839 | 2007-07-19 |
| 1629143714 | Stuart R Winter | Dentist | 8605 Ralston Rd, Arvada, CO 80002 | 2006-11-22 |
| 1568573996 | Orofacial Pain Associates, P.C. | Dentist | 7878 W 80th Pl, #2-d, Arvada, CO 80005-2520 | 2006-08-31 |
| 1023120813 | Juan C Materon | Dentist | 8390 West 80th Ave, Arvada, CO 80005 | 2006-08-31 |
| 1922011709 | Jonathan Lewis Simon | Dentist | 14715 W 64th Ave, Unit F, Arvada, CO 80004 | 2006-08-14 |
| Find all providers in ARVADA | ||||
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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.