MY DENTIST INC. (NPI# 1861663668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861663668 |
| Entity Type | Organization |
| Organization Name | MY DENTIST INC. |
| Practice Address |
3955 E 120th Ave Ste B Thornton CO 80233-2075 |
| Practice Telephone | 3032554855 |
| Practice Fax Number | 3033397912 |
| Mailing Telephone | 3032554855 |
| Mailing Fax Number | 3033397912 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |
| Authorized Official Name | DR. GREGORY KRAINIK (OWNER) |
| Authorized Official Telephone | 3032554855 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10-4900 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | STATE LICSENCE | 4947T | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MY DENTIST INC. | 2721 W 120th Ave #a200, Westminster, CO 80234 |
| Street Address |
3955 E 120TH AVE STE B |
| City | THORNTON |
| State | CO |
| Zip Code | 80233-2075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844479 | Colorado Dental Specialist Practice, LLC | Dentist | 3955 E 120th Ave Ste B, Thornton, CO 80233-2075 | 2019-07-31 |
| 1710531488 | My Local Colorado Dental Practice, LLC | Dentist | 3955 E 120th Ave Ste B, Thornton, CO 80233-2075 | 2019-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018232 | Kantor Dental Group 2, Pllc | Clinic/Center | 11979 Holly St, Thornton, CO 80233 | 2019-02-06 |
| 1841789799 | Alicia Carol | Music Therapist | 3750 E 107th Ave, Thornton, CO 80233 | 2018-05-07 |
| 1750893228 | Lisa Marie Gonzales | Speech-Language Pathologist | 11875 Humboldt Drive, Northglenn, CO 80233 | 2017-10-24 |
| 1205354842 | Ishtar Khan | Registered Nurse | 11064 Clayton Street, Northglenn, CO 80233 | 2017-09-05 |
| 1649727702 | Beth Hale | Counselor | 1104 Eudora Circle, Thornton, CO 80233 | 2016-09-07 |
| 1376090977 | Audrey Holland | Registered Nurse | 2965 East 109th Avenue, Specialty Foot Care LLC, Northglenn, CO 80233 | 2016-09-01 |
| 1962958223 | Northglenn Endoscopy Center LLC | Clinic/Center | 11900 Grant Street, #320, Northglenn, CO 80233 | 2016-08-28 |
| 1518349141 | Ashley Makelky | Registered Nurse | 11427 Cook Court, Denver, CO 80233 | 2015-06-19 |
| 1992115497 | Northglenn Smiles Dentistry and Orthodontics, LLP | Dentist | 100 E 120th Avenue, Unit C130, Northglenn, CO 80233 | 2014-05-06 |
| 1053744136 | Dominic Evan Philpott | Dentist | 10780 N. Washington Ave., Northglenn, CO 80233 | 2013-08-13 |
| Find all providers in zip 80233 | ||||
| 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 |
|---|---|---|---|---|
| 1396307484 | Armando Aaron Jauregui | Dentist | 2580 E 98th Ave, Thornton, CO 80229-2521 | 2019-06-28 |
| 1780184051 | Cks Dental Inc | Dentist | 10005 Grant St Unit D, Thornton, CO 80229-2033 | 2018-02-13 |
| 1093230328 | Cara Raeann Jones | Dentist | 8901 Grant St Apt 1816, Thornton, CO 80229-4440 | 2017-08-08 |
| 1235581141 | Ross Roggow | Dentist | 810 E 88th Ave Unit 140, Thornton, CO 80229-4747 | 2016-07-05 |
| 1356796841 | Thai Dental PC | Dentist | 810 E 88th Ave, Suite 150, Thornton, CO 80229-4747 | 2016-05-03 |
| 1902265382 | Colorado Dental Professionals, LLC | Dentist | 12889 Quebec Street, Thornton, CO 80602 | 2016-02-15 |
| 1427439819 | Modern Dental Professionals Co PC | Dentist | 951 E 120th Ave Unit D, Thornton, CO 80233-5719 | 2015-06-11 |
| 1093133787 | Lindsay Deanna Moore | Dentist | 12889 Quebec St, Thornton, CO 80602-9623 | 2014-03-31 |
| 1346667037 | Bruggeman Dental | Dentist | 2601 E 145th Ct, Thornton, CO 80602-7339 | 2014-03-19 |
| 1487925129 | Modern Dental Professionals Co,pc | Dentist | 951 E 120th Ave, Unit D, Thornton, CO 80233-5718 | 2012-01-25 |
| Find all providers in THORNTON | ||||
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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.