CORTEZ SMILES, PC (NPI# 1730410820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730410820 |
| Entity Type | Organization |
| Organization Name | CORTEZ SMILES, PC |
| Practice Address |
217 W Main St Cortez CO 81321-3135 |
| Practice Telephone | 9705655457 |
| Practice Fax Number | 9705652496 |
| Mailing Telephone | 9705655457 |
| Mailing Fax Number | 9705652496 |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-01-29 |
| Authorized Official Name | JARED STAPLES (PRESIDENT) |
| Authorized Official Telephone | 9705609005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Cortez Smiles, PC | 217 W. Main St., Cortez, CO 81321 |
| Street Address |
217 W MAIN ST |
| City | CORTEZ |
| State | CO |
| Zip Code | 81321-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316236631 | Matthew T. Bryner, P.C. | Dentist | 217 W Main St, Cortez, CO 81321-3135 | 2011-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326667429 | Laurilyn Balfour Sturdevant | Dental Hygienist | 101 N Maple, Cortez, CO 81321 | 2020-04-09 |
| 1306231642 | Mesa View Retirement Home Inc. | Assisted Living Facility | 24760 County Road G, Cortez, CO 81321 | 2015-04-03 |
| 1528464765 | Patricia Nelson | Counselor | 691 E. Empire St., Cortez, CO 81321 | 2014-11-17 |
| 1417366808 | Summit Family Dental of Cortez, Pllc | Dentist | 111 S Sligo, Building A, Cortez, CO 81321 | 2014-08-11 |
| 1528480571 | Kelly Ogle | Registered Nurse | 17575 Road G, Cortez, CO 81321 | 2014-01-10 |
| 1316378821 | Beth A. Carter | Registered Nurse | 106 West North Street, Cortez, CO 81321 | 2013-12-09 |
| 1538596614 | Michael Daniel Grajeda | Physical Therapist | 111 N Park St Ste B, Cortez, CO 81321 | 2013-10-03 |
| 1275879876 | April L. Randle Md Inc | Internal Medicine | 215 Linden St, Suite D, Cortez, CO 81321 | 2012-12-31 |
| 1376827998 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 691 East Empire, Cortez, CO 81321 | 2011-09-30 |
| 1770879850 | Mark Holton | Marriage & Family Therapist | 1399 Cochita St, Cortez, CO 81321 | 2011-06-27 |
| Find all providers in zip 81321 | ||||
| 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 |
|---|---|---|---|---|
| 1730705179 | Warren Blake Lockett Pyle | Dentist | 111 Sligo St Unit A, Cortez, CO 81321-2920 | 2020-06-22 |
| 1518195676 | Howard Hassell Pack | Dentist | 43 W Montezuma Ave, Cortez, CO 81321-2743 | 2009-06-29 |
| 1053505107 | Dick Allen Chapman | Dentist | 3920 Mariners Way, 324, Cortez, FL 34215-2554 | 2007-08-31 |
| 1609986447 | Jacob Twyman Boyer | Dentist | 3450 Highway 160-491, Cortez, CO 81321-9619 | 2006-08-30 |
| 1336147313 | Kenneth Raymond Carlson | Dentist | 115 N Beech St, Cortez, CO 81321-3207 | 2005-07-13 |
| 1760847123 | John J Black Dds, Inc. | Dentist | 18 S Beech St, Cortez, CO 81321-3744 | 2015-12-29 |
| 1487024865 | San Juan Dental Clinic PC | Dentist | 115 N Beech St, Cortez, CO 81321-3207 | 2015-09-29 |
| 1669878575 | Edward Stuart Walker | Dentist | 115 N Beech St, Cortez, CO 81321-3207 | 2014-11-05 |
| 1316236631 | Matthew T. Bryner, P.C. | Dentist | 217 W Main St, Cortez, CO 81321-3135 | 2011-04-07 |
| 1588762199 | Jason Kent Smith | Dentist | 115 N Beech St, Cortez, CO 81321-3207 | 2006-09-20 |
| Find all providers in CORTEZ | ||||
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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.