EAGLE ORTHODONTICS, PC (NPI# 1710428883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710428883 |
Entity Type | Organization |
Organization Name | EAGLE ORTHODONTICS, PC |
Other Organization Name | EAGLE ORTHODONTICS |
Practice Address |
011 Eagle Park Dr. Eagle CO 81631 |
Mailing Address |
Po Box 3538 Eagle CO 81631-3538 |
Practice Telephone | 9703281075 |
Enumeration Date | 2017-03-09 |
Last Update Date | 2017-03-09 |
Authorized Official Name | DR. DUSTIN RODEN-JOHNSON (OWNER) |
Authorized Official Telephone | 5129232041 |
Authorized Official Credential | DDS, MS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
22109 | TX | Dental Providers |
Other Name | Type Code |
---|---|
Eagle Orthodontics | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Eagle Orthodontics, PC | 011 Eagle Park Dr E, Eagle, CO 81631 |
Street Address |
011 EAGLE PARK DR. |
City | EAGLE |
State | CO |
Zip Code | 81631 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215549662 | Andrea Browning | Social Worker | 2549 Salt Creek Road, Eagle, CO 81631 | 2020-08-18 |
1689213829 | Erin E Johnson | Pharmacist | 0103 Market Street, Eagle, CO 81631 | 2020-01-06 |
1821653825 | Lauren Lyn Ruhl | Counselor | 360 Eby Creek Road, Eagle, CO 81631 | 2019-05-06 |
1134626401 | Dawn Allison Nichols | Counselor | 137 Howard, Eagle, CO 81631 | 2018-04-12 |
1750886776 | Daniel Israel | Counselor | 137 Howard St., Eagle, CO 81631 | 2018-03-30 |
1962903005 | Lisa K Johnson | Massage Therapist | 717a Sylvan Lake Road, Eagle, CO 81631 | 2018-02-23 |
1922525815 | Susan Robinson | Physical Therapist | 1143 Capitol St, Unit 102b, Eagle, CO 81631 | 2017-08-23 |
1184148157 | Hallie Mclaughlin | Dental Hygienist | 530 Founders Ave, Eagle, CO 81631 | 2017-08-01 |
1780125252 | Brendan Quinn | Pharmacist | 264 Fulford Drive, Eagle, CO 81631 | 2017-03-16 |
1497298376 | Mandy Collier | Acupuncturist | 200 Capitol Street, Eagale, CO 81631 | 2016-11-28 |
Find all providers in zip 81631 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750996641 | Simko Orthodontics of Colorado, PC | Dentist | 6850 E Hampden Ave Ste 201, Denver, CO 80224-3024 | 2020-09-09 |
1457977407 | Ingrid De La Torre | Dentist | 16533 E 49th Ave Apt 208, Denver, CO 80239-5884 | 2020-06-24 |
1205450525 | David Wayne Hamula | Dentist | 1860 Woodmoor Dr Ste 200, Monument, CO 80132-9073 | 2020-06-02 |
1285260927 | Johnson Orthodontics | Dentist | 5850 Tutt Center Pt Ste 100, Colorado Springs, CO 80922-3520 | 2020-03-13 |
1003441049 | Johnson Orthodontics | Dentist | 15435 Gleneagle Dr Ste 210, Colorado Springs, CO 80921-2542 | 2020-03-10 |
1396379012 | Ascend Group Pllc | Dentist | 700 W Eisenhower Blvd Ste 100&110, Loveland, CO 80537-3105 | 2020-03-03 |
1720619497 | Irina Sharp | Dentist | 2200 E 104th Ave Ste 112, Thornton, CO 80233-4402 | 2020-01-30 |
1871124651 | Jeffrey L Collins Dds PC | Dentist | 19700 E Parker Square Dr Ste C, Parker, CO 80134-7300 | 2020-01-30 |
1740829290 | Charles F Reed Dds Ms PC | Dentist | 20971 E Smoky Hill Rd Ste 200, Centennial, CO 80015-5187 | 2020-01-02 |
1790324770 | Pine Top Orthodontics PC | Dentist | 9475 Briar Village Pt Ste 315, Colorado Springs, CO 80920-7905 | 2019-12-23 |
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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.