NICHOLAS ROBERT BUSSA (NPI# 1679964357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679964357 |
| Entity Type | Individual |
| Full Name | NICHOLAS ROBERT BUSSA |
| Practice Address |
11550 Sheridan Blvd Ste 101 Westminster CO 80020-3312 |
| Mailing Address |
102 Arthur Ave Se Minneapolis MN 55414-3412 |
| Practice Telephone | 3034650922 |
| Practice Fax Number | 3036910889 |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2017-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DEN.00203126 | CO | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
11550 SHERIDAN BLVD STE 101 |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80020-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586294 | Olson Family Dental Pllc | Clinic/Center | 11550 Sheridan Blvd Ste 101, Westminster, CO 80020-3312 | 2020-07-29 |
| 1124683818 | Samuel Ivan Olson | Dentist | 11550 Sheridan Blvd Ste 101, Westminster, CO 80020-3312 | 2019-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| 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 |
|---|---|---|---|---|
| 1811541501 | Allison Kay Kathol | Dentist | 1333 W 120th Ave Ste 314, Westminster, CO 80234-2750 | 2019-07-31 |
| 1316424328 | Dylan Mcknight | Dentist | 7970 Sheridan Blvd Ste 300a, Westminster, CO 80003-6200 | 2018-07-23 |
| 1295250686 | David Nguyen | Dentist | 9972 Bolsa Ave Ste 102, Westminster, CA 92683-6069 | 2017-08-07 |
| 1568919546 | Loretta M. Sadar Dds PC | Dentist | 8601 Turnpike Dr Unit 103, Westminster, CO 80031-7044 | 2016-09-07 |
| 1457806168 | Michelle Kim Nguyen | Dentist | 9353 Bolsa Ave # L62, Westminster, CA 92683-5951 | 2016-08-23 |
| 1538524905 | Mark Larson | Dentist | 5441 Saint Marys Cir, Westminster, CA 92683-3416 | 2015-12-29 |
| 1942686795 | Kellie Bateman | Dentist | 7025 Sheridan Blvd Ste 200, Westminster, CO 80003-3814 | 2015-08-04 |
| 1134500952 | Melba Akinwande | Dentist | 480 Meadow Creek Dr Ste B, Westminster, MD 21158-4445 | 2015-06-17 |
| 1275911216 | Kha D Le Dental Corp | Dentist | 9900 Mcfadden Ave #101, Westminster, CA 92683 | 2015-05-11 |
| 1710371174 | Meghan Holub | Dentist | 6415 W 104th Ave #300, Westminster, CO 80020 | 2015-03-24 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80020 |
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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.