COLORADO DENTAL SPECIALIST PRACTICE, LLC (NPI# 1790339323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790339323 |
| Entity Type | Organization |
| Organization Name | COLORADO DENTAL SPECIALIST PRACTICE, LLC |
| Practice Address |
200 Quebec St Unit 105 Denver CO 80230-7144 |
| Practice Telephone | 3033646659 |
| Mailing Telephone | 3033646659 |
| 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 |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Colorado Dental Specialists | Doing Business As Name - Organization |
| Colorado Endodontic Group | Doing Business As Name - Organization |
| Colorado Orthodontic 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 |
| 1740834381 | Colorado Dental Specialist Practice, LLC | Dentist | 1005 W 120th Ave Ste 800, Westminster, CO 80234-2747 | 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 |
| Street Address |
200 QUEBEC ST UNIT 105 |
| City | DENVER |
| State | CO |
| Zip Code | 80230-7144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127492 | My Local Colorado Dental Practice, LLC | Dentist | 200 Quebec St Unit 105, Denver, CO 80230-7144 | 2019-07-30 |
| 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 | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801204532 | Saroj Kumar Saha | Dentist | 682 S Emerson St, Denver, CO 80209-4339 | 2014-07-25 |
| 1013236025 | Samantha A Campbell | Dentist | 10128 E 31st Ave, Denver, CO 80238-3442 | 2010-06-01 |
| 1477699957 | Gregory George Farthing | Dentist | 7150 East Hampden Ave, Suite 100, Denver, CO 80224 | 2007-01-30 |
| 1336294388 | Altura Periodontics | Dentist | 3690 S Yosemite St, Denver, CO 80237-1827 | 2007-01-23 |
| 1992864367 | Tommy D Yun | Dentist | 1133 14th St, Unit 3210, Denver, CO 80202-2202 | 2006-12-08 |
| 1336246214 | Brian Scott Gurinsky | Dentist | 1141 18th St, Denver, CO 80202-1801 | 2006-09-20 |
| 1457384901 | Martha Pinto Bridgewater | Dentist | 121 S Madison St, Suite C, Denver, CO 80209-3031 | 2006-07-08 |
| 1891721551 | Alan Zev Pomeranz | Dentist | 10200 E Girard Ave, Bldg A-209, Denver, CO 80231-5500 | 2006-06-24 |
| 1639178817 | Richard William Metcalfe | Dentist | 1325 E 16th Ave, Denver, CO 80218-1517 | 2005-07-19 |
| 1265921076 | Laura Noce | Dentist | 3300 E 1st Ave Ste 300, Denver, CO 80206-5806 | 2018-05-07 |
| 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.