MY LOCAL COLORADO DENTAL PRACTICE, LLC (NPI# 1679127492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679127492 |
| Entity Type | Organization |
| Organization Name | MY LOCAL COLORADO DENTAL PRACTICE, LLC |
| Practice Address |
200 Quebec St Unit 105 Denver CO 80230-7144 |
| Practice Telephone | 3033646659 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | MICHELLE JOHNSON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5093158338 |
| Is Organization Subpart | Y |
| Parent Organization Name | MY LOCAL COLORADO DENTAL PRACTICE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Lowry Main Street Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952941650 | My Local Colorado Dental Practice, LLC | Dentist | 12031 Tejon St Ste 100, Westminster, CO 80234-2306 | 2020-01-10 |
| 1891335964 | My Local Colorado Dental Practice, LLC | Dentist | 1727 N Gilpin St, Denver, CO 80218-1205 | 2020-01-07 |
| 1245870336 | My Local Colorado Dental Practice, LLC | Dentist | 264 Union Blvd Ste 200, Lakewood, CO 80228-1970 | 2020-01-07 |
| 1396399069 | My Local Colorado Dental Practice, LLC | Dentist | 1691 Coalton Rd, Superior, CO 80027-4681 | 2019-07-30 |
| 1265086920 | My Local Colorado Dental Practice, LLC | Dentist | 7505 E 35th Ave Unit 304, Denver, CO 80238-2460 | 2019-07-30 |
| 1376197046 | My Local Colorado Dental Practice, LLC | Dentist | 3541 E Harmony Rd Ste 130, Fort Collins, CO 80528-8816 | 2019-07-30 |
| 1043864705 | My Local Colorado Dental Practice, LLC | Dentist | 5021 S Jellison Way Unit C, Littleton, CO 80123-7377 | 2019-07-30 |
| 1528612298 | My Local Colorado Dental Practice, LLC | Dentist | 7685 Mclaughlin Rd Ste 100, Falcon, CO 80831-4751 | 2019-07-30 |
| 1417501180 | My Local Colorado Dental Practice, LLC | Dentist | 8410 Wadsworth Blvd Unit G, Arvada, CO 80003-0918 | 2019-07-30 |
| 1316591076 | My Local Colorado Dental Practice, LLC | Dentist | 150 Morning Sun Dr Ste 200w, Woodland Park, CO 80863-9160 | 2019-07-30 |
| Street Address |
200 QUEBEC ST UNIT 105 |
| City | DENVER |
| State | CO |
| Zip Code | 80230-7144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790339323 | Colorado Dental Specialist Practice, LLC | Dentist | 200 Quebec St Unit 105, Denver, CO 80230-7144 | 2019-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786445 | Eating Recovery Center | Psychiatry & Neurology | 8140 E. 5th Ave, Denver, CO 80230 | 2020-09-25 |
| 1871132365 | Denver Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4650 Central Park Blvd., Denver, CO 80230 | 2019-12-31 |
| 1366989691 | Tamara Polk | Registered Nurse | 8299 E Lowry Blvd, Denver, CO 80230 | 2017-01-25 |
| 1457802043 | Eating Recovery Center The Carolinas | Social Worker | 7351 E. Lowry Blvd., Suite 200, Denver, CO 80230 | 2016-10-18 |
| 1740635416 | Jessica Zha | Family Medicine | 1001 Yosemite Street, Denver, CO 80230 | 2016-04-29 |
| 1104284694 | University Physicians Incorporated | Obstetrics & Gynecology | 8111 E Lowry Blvd Ste 250, Denver, CO 80230 | 2016-01-29 |
| 1073984399 | Andy Taha | Transportation Broker | 7355 E 7th Ave, Denver, CO 80230 | 2015-10-13 |
| 1790185106 | State Board for Community Colleges and Occupational Education | Dentist | 1062 Akron Way, Bldg. #753, Denver, CO 80230 | 2014-09-04 |
| 1497162127 | Stacy Morsch | Registered Nurse | 1010 Yosemite Street, Denver, CO 80230 | 2014-07-15 |
| 1609153097 | Kimberly Jo French | Acupuncturist | 2865 S. Colorado Blvd., 105n, Denver, CO 80230 | 2011-11-14 |
| Find all providers in zip 80230 | ||||
| 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 |
| 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 |
| 1740844588 | Hampden Dental Loft | Dentist | 9250 E Hampden Ave Ste 100, Denver, CO 80231-5413 | 2019-04-26 |
| 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.