BLUE RIVER ORAL SURGERY (NPI# 1578706651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578706651 |
| Entity Type | Organization |
| Organization Name | BLUE RIVER ORAL SURGERY |
| Other Organization Name | ALPINE O.M.S. |
| Practice Address |
975 North Ten Mile Drive Suite E 11 Frisco CO 80443-4998 |
| Mailing Address |
Po Box 4998 Frisco CO 80443-4998 |
| Practice Telephone | 9706681314 |
| Practice Fax Number | 9706681057 |
| Mailing Telephone | 9706681314 |
| Mailing Fax Number | 9706681057 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |
| Authorized Official Name | DR. KARL L H HEGGLAND (OWNER) |
| Authorized Official Telephone | 9706681314 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
8755 | CO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ALPINE O.M.S. | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Blue River Oral Surgery, PC | 975 N Ten Mile Drive, Suite E 11, Frisco, CO 80443 |
| Street Address |
975 NORTH TEN MILE DRIVE SUITE E 11 |
| City | FRISCO |
| State | CO |
| Zip Code | 80443-4998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254215 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 340 Peak Oned Drive, Frisco, CO 80443 | 2020-10-30 |
| 1073139267 | Colorado Mountain Medical, LLC | Internal Medicine | 323 West Main Street, Suite 101, Frisco, CO 80443 | 2020-06-23 |
| 1720611882 | Michael Shanser | Counselor | 101 West Main Suite 301, Frisco, CO 80443 | 2020-02-18 |
| 1407499205 | Kerri Hudgins | Dental Hygienist | 360 Peak One Drive, Suite 325, # 4337, Frisco, CO 80443 | 2019-10-24 |
| 1134762123 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Peak One Blvd, Ste 390, Frisco, CO 80443 | 2019-10-22 |
| 1881241172 | Shannon Maser | Chiropractor | 117 S. 6th Ave, Unit 2, Frisco, CO 80443 | 2019-08-21 |
| 1508421785 | Juli M Joyce | Preventive Medicine | 360 Peak One Dr #230, Frisco, CO 80443 | 2019-05-03 |
| 1194288449 | Sara Christian Broughton | Peer Specialist | 360 Peak One Dr Ste 130, Frisco, CO 80443 | 2019-04-12 |
| 1093275299 | Atis Spuris | Peer Specialist | 360 Peak One Dr Ste 140, Frisco, CO 80443 | 2019-03-22 |
| 1427520469 | Claire Melissa Mann | Nurse Practitioner | 984 Ten Mile Dr., Suite 3, Frisco, CO 80443 | 2018-12-31 |
| Find all providers in zip 80443 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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 |
|---|---|---|---|---|
| 1336361526 | Day Surgical Arts Frisco | Clinic/Center | 975 N. Ten Mile Drive, E11, Frisco, CO 80443 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770091720 | Altitude Oral and Facial Cosmetic Surgery Lone Tree, Pllc | Clinic/Center | 10375 Park Meadows Dr Ste 150, Lone Tree, CO 80124-6755 | 2018-01-11 |
| 1154835528 | Jeffrey W. Stearns, D.m.d., M.d | Clinic/Center | 27 S 18th Ave, Brighton, CO 80601-2401 | 2017-11-21 |
| 1346484193 | Colorado Regional Oral Surgery | Clinic/Center | 8025 Club Crest Drive, Arvada, CO 80005 | 2009-04-23 |
| 1447420922 | Bluestein Surgical Arts, PC | Clinic/Center | 864 W South Boulder Rd, Louisville, CO 80027-2410 | 2008-03-11 |
| 1043480452 | Glenwood Oral Surgery, P.C. | Clinic/Center | 406 South Hyland Park Dr, Suite B, Glenwood Springs, CO 81601 | 2008-03-03 |
| 1174702880 | Justin C. Bley D.m.d., P.C. | Clinic/Center | 1707 61st Ave, Suite 102, Greeley, CO 80634-7997 | 2007-10-30 |
| 1891200309 | Highlands Ranch Oral & Facial Surgery | Clinic/Center | 300 Plaza Dr Ste 175, Highlands Ranch, CO 80129-2335 | 2017-12-06 |
| 1205354388 | Colorado Surgical & Anesthesia Services, PC | Clinic/Center | 6915 Conifer Ct, Niwot, CO 80503-8665 | 2017-09-08 |
| 1891225348 | Colorado Springs Oral Surgery | Clinic/Center | 3100 N Academy Blvd Ste 213, Colorado Springs, CO 80917-5332 | 2017-06-18 |
| 1295271450 | Aspen Oral and Facial Surgery, Pllc | Clinic/Center | 671 Mitchell Way, Suite 100, Erie, CO 80516 | 2017-01-12 |
| Find all providers with the same taxonomy | ||||
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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.