COLORADO DENTAL SPECIALIST PRACTICE, LLC (NPI# 1740834381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740834381 |
| Entity Type | Organization |
| Organization Name | COLORADO DENTAL SPECIALIST PRACTICE, LLC |
| Practice Address |
1005 W 120th Ave Ste 800 Westminster CO 80234-2747 |
| Practice Telephone | 7202635420 |
| Mailing Telephone | 7202635420 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Authorized Official Name | MICHELLE JOHNSON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5093158338 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLORADO DENTAL SPECIALIST PRACTICE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Colorado Oral Surgery Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518511146 | Colorado Dental Specialist Practice, LLC | Dentist | 18121 E Hampden Ave Unit E, Aurora, CO 80013-3591 | 2019-07-31 |
| 1649825886 | Colorado Dental Specialist Practice, LLC | Dentist | 6110 Barnes Rd, Colorado Springs, CO 80922-2600 | 2019-08-05 |
| 1568017077 | Colorado Dental Specialist Practice, LLC | Dentist | 3715 Bloomington St Unit 160, Colorado Springs, CO 80922-3207 | 2019-08-02 |
| 1831743459 | Colorado Dental Specialist Practice, LLC | Dentist | 8085 Fountain Mesa Rd, Fountain, CO 80817-1591 | 2019-07-31 |
| 1184278715 | Colorado Dental Specialist Practice, LLC | Dentist | 3095 S Parker Rd Ste 150, Aurora, CO 80014-2917 | 2019-07-31 |
| 1780238311 | Colorado Dental Specialist Practice, LLC | Dentist | 1160 W Ash St, Windsor, CO 80550-4666 | 2019-07-31 |
| 1407400039 | Colorado Dental Specialist Practice, LLC | Dentist | 2800 E 136th Ave, Thornton, CO 80241-3417 | 2019-07-31 |
| 1841844479 | Colorado Dental Specialist Practice, LLC | Dentist | 3955 E 120th Ave Ste B, Thornton, CO 80233-2075 | 2019-07-31 |
| 1497309058 | Colorado Dental Specialist Practice, LLC | Dentist | 3236 Centennial Blvd, Colorado Springs, CO 80907-4077 | 2019-07-31 |
| 1326692955 | Colorado Dental Specialist Practice, LLC | Dentist | 3550 W 38th Ave Ste 50, Denver, CO 80211-2000 | 2019-07-31 |
| Street Address |
1005 W 120TH AVE STE 800 |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80234-2747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376767475 | Sarah Sohyun Bong-thakur | Dentist | 1005 W 120th Ave Ste 800, Westminster, CO 80234-2747 | 2007-04-12 |
| 1578943825 | Matthew Kiebish | Dentist | 1005 W 120th Ave Ste 800, Westminster, CO 80234-2747 | 2015-06-02 |
| 1770889305 | Jason Koh | Dentist | 1005 W 120th Ave Ste 800, Westminster, CO 80234-2747 | 2011-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375115 | Jeanne Weintraub | Counselor | Griffith Centers for Children, 10465 Melody Dr Suite 325, Northglenn, CO 80234 | 2020-08-07 |
| 1992273916 | Physicians Wellness Associates Pllc | Family Medicine | 12213 Pecos Street, Suite 700, Westminster, CO 80234 | 2018-11-07 |
| 1114409638 | Selathia Chestnut | Behavior Technician | 11698 Huron St., #106, Northglenn, CO 80234 | 2018-08-30 |
| 1194271478 | Alyssa Cure | Occupational Therapist | 11160 Huron Street, Suite 200, Northglenn, CO 80234 | 2016-08-28 |
| 1316492911 | The Hearing & Tinnitus Center | Audiologist-Hearing Aid Fitter | 1001 W. 120th Ave Suite 214, Westminster, CO 80234 | 2016-08-24 |
| 1386005791 | Rachel T Kraut | Registered Nurse | 1401 W 122nd Ave Ste 200, Westminster, CO 80234 | 2016-03-11 |
| 1780064469 | Mountain View Dental Northgleen LLC | Dentist | 421 W. 104th Ave, Suite 201, Northglenn, CO 80234 | 2015-06-08 |
| 1770902876 | Lisa Lorenzen | Specialist | 12172 Melody Drive, Westminster, CO 80234 | 2014-04-16 |
| 1306279492 | Jennifer Nicole Dahlke | Speech-Language Pathologist | 12201 Pecos St., Suite 200, Westminster, CO 80234 | 2013-08-13 |
| 1336588490 | America's Best Contacts & Eyeglasses | Technician/Technologist | 521 W 104th Ave, Suite J, Northglenn, CO 80234 | 2013-06-21 |
| Find all providers in zip 80234 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
|---|---|---|---|---|
| 1295186708 | J and J LLC | Dentist | 8700 W 101st Ave, Suite 300, Westminster, CO 80021-3978 | 2016-06-27 |
| 1972950509 | David Whiting | Dentist | 8700 W 101st Ave Unit 300, Westminster, CO 80021-3948 | 2016-05-24 |
| 1639470941 | North Denver Oral & Maxillofacial Surgery | Dentist | 12213 Pecos St # 100, Westminster, CO 80234-3425 | 2010-11-03 |
| 1952562514 | Trevor Gregg Johnson | Dentist | 8700 W 101st Ave Ste 300, Westminster, CO 80021 | 2008-06-17 |
| 1376767475 | Sarah Sohyun Bong-thakur | Dentist | 1005 W 120th Ave Ste 800, Westminster, CO 80234-2747 | 2007-04-12 |
| 1801980388 | Douglas S. Hong | Dentist | 12213 Pecos St Ste 100, Westminster, CO 80234-3414 | 2006-10-02 |
| 1144229527 | Duong C. Nguyen | Dentist | 9900 Mcfadden Ave, Suite 204, Westminster, CA 92683-6978 | 2005-07-19 |
| 1295135960 | Bridger Dean Jensen | Dentist | 8700 W 101st Ave Ste 300, Westminster, CO 80021-3978 | 2014-08-29 |
| 1013212505 | Jay I. Chason | Dentist | 15 E Main St, Suite 222, Westminster, MD 21157-5000 | 2011-01-14 |
| 1992963573 | J. Michael Kroe,d.d.s.,pa | Dentist | 280 E Main St, Suite 100, Westminster, MD 21157-5525 | 2008-05-30 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80234 |
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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.