ORTHODONTIC ASSOCIATES OF GREELEY PC (NPI# 1881709913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881709913 |
| Entity Type | Organization |
| Organization Name | ORTHODONTIC ASSOCIATES OF GREELEY PC |
| Practice Address |
3400 W 16th St Bldg 4-v Greeley CO 80634-6862 |
| Practice Telephone | 9703565900 |
| Practice Fax Number | 9703562418 |
| Mailing Telephone | 9703565900 |
| Mailing Fax Number | 9703562418 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BRADFORD NEWHALL EDGREN (ORTHODONTIST) |
| Authorized Official Telephone | 9703565900 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6883 | CO | Dental Providers |
| Street Address |
3400 W 16TH ST BLDG 4-V |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-6862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407884877 | Terry Allen Eckles | Dentist | 3400 W 16th St, Suite 5x, Greeley, CO 80634-6862 | 2006-06-28 |
| 1396361465 | Emily Allison | Counselor | 3400 W 16th St, Greeley, CO 80634-6862 | 2020-06-24 |
| 1659803542 | Sarah Shadley | Massage Therapist | 3400 W 16th St, Building 6 Suite J, Greeley, CO 80634-6862 | 2017-03-30 |
| 1740650886 | Burt J Stewart | Dentist | 3400 W 16th St, Bldg 8 Suite E, Greeley, CO 80634-6862 | 2015-10-01 |
| 1164816054 | Carol Miller | Specialist | 3400 W 16th St, Greeley, CO 80634-6862 | 2015-03-27 |
| 1043604663 | Jeffrey Miller | Specialist | 3400 W 16th St, Greeley, CO 80634-6862 | 2015-03-20 |
| 1437550050 | Northern Colorado Periodontics | Dentist | 3400 W 16th St, Suite 5x, Greeley, CO 80634-6862 | 2014-09-15 |
| 1619212768 | S. Brown & Associates Dental Group PC | Dentist | 3400 W 16th St, #3-s, Greeley, CO 80634-6862 | 2012-11-30 |
| 1942460936 | Benner & Sharp Family Dentistry | Dentist | 3400 W 16th St, Suite 8-e, Greeley, CO 80634-6862 | 2008-06-12 |
| 1194913236 | Medical Massage of The Rockies,llc | Specialist | 3400 W 16th St, Ste 6m, Greeley, CO 80634-6862 | 2007-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| 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 |
|---|---|---|---|---|
| 1265639264 | Centerrra Orthodontics | Dentist | 2855 35th Ave Unit A, Greeley, CO 80634-9474 | 2007-07-02 |
| 1003966714 | Gary D. Sheldon | Dentist | 3485 W 10th St Ste C, Greeley, CO 80634-5368 | 2007-01-12 |
| 1285791137 | Gary Ray Barth | Dentist | 1640 25th Ave Ste A, Greeley, CO 80634-4957 | 2007-01-02 |
| 1326108358 | Dana Anne Gamblin | Dentist | 1815 61st Ave., Ste. 101, Greeley, CO 80634-7995 | 2006-12-11 |
| 1962401216 | Greeley Orthodontic Center | Dentist | 2021 Clubhouse Dr, Suite 110, Greeley, CO 80634-3667 | 2005-07-19 |
| 1295297786 | Crane and Seager Orthodontics- Greeley LLP | Dentist | 2003 46th Ave, Greeley, CO 80634-3250 | 2019-04-03 |
| 1871029942 | Carly Warden | Dentist | 3485 W 10th St Ste C, Greeley, CO 80634-5368 | 2017-05-10 |
| 1568907426 | Elijah Chang Wang | Dentist | 3485 W 10th St Ste C, Greeley, CO 80634-5368 | 2017-01-03 |
| 1619357555 | Braces4kids, Pllc | Dentist | 2400 W 16th St, Greeley, CO 80634-6067 | 2015-06-05 |
| 1689091068 | Nicholas Punzalan | Dentist | 3485 W 10th St, Greeley, CO 80634-5367 | 2014-03-24 |
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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.