DR. KEVIN M MCCORMACK (NPI# 1891143178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891143178 |
| Entity Type | Individual |
| Full Name | DR. KEVIN M MCCORMACK |
| Credential | DDS |
| Practice Address |
18240 E 104th Ave Unit 201 Commerce City CO 80022-0660 |
| Mailing Address |
5650 Argonne St Apt 12303 Denver CO 80249-8866 |
| Practice Telephone | 3039287838 |
| Practice Fax Number | 2165841363 |
| Mailing Telephone | 8123228066 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2020-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN.00204371 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649681370 | Kevin Mccormack | Case Manager/Care Coordinator | 9 E Challenger St, Roswell, NM 88203-8461 | 2014-05-15 |
| 1740311356 | Kevin A. Mccormack | Marriage & Family Therapist | 4333 E Vineyard Ave, Oxnard, CA 93036-1013 | 2007-03-07 |
| 1598766917 | Kevin Mccormack | Pathology | 2001 Webber St, Sarasota, FL 34239-5288 | 2005-08-09 |
| Street Address |
18240 E 104TH AVE UNIT 201 |
| City | COMMERCE CITY |
| State | CO |
| Zip Code | 80022-0660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083925473 | Tara Huntsman | Dentist | 18240 E 104th Ave Unit 201, Commerce City, CO 80022-0660 | 2010-06-30 |
| 1114272622 | Melissa J Hinze | Dentist | 18240 E 104th Ave Unit 201, Commerce City, CO 80022-0660 | 2012-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245853944 | Angelica L. Seto, Dds, Pllc | Dentist | 4972 E. 62nd Ave, Ste B-1, Commerce City, CO 80022 | 2020-05-28 |
| 1467084129 | Tri-county Health Department | Clinic/Center | 7201 E. 72nd Ave., Commece City, CO 80022 | 2020-02-10 |
| 1750850772 | Commerce City Dental Partners Pllc | Dentist | 6091 Dexter Street, Commerce City, CO 80022 | 2018-11-20 |
| 1891218525 | Rita Manaugh | Registered Nurse | 16835 E 111th Drive, Commerce City, CO 80022 | 2017-07-25 |
| 1245780568 | Britt Bay LLC | Non-emergency Medical Transport (VAN) | 5400 Monroe, Denver, CO 80022 | 2016-10-11 |
| 1184170748 | Wallowa County Health Care District | Clinic/Center | 16351 E. 104th Place, Commerce City, CO 80022 | 2016-09-01 |
| 1023465523 | Ashley Rose Nichols | Registered Nurse | 9758 Laredo St #10b, Commerce City, CO 80022 | 2016-05-16 |
| 1417320623 | Perfect Teeth - Commerce City P.C. | Dentist | 15200 E. 104th Ave., Commerce City, CO 80022 | 2015-11-10 |
| 1144698739 | Tiffany Brimberry | Psychologist | 13611 E 104th Ave Unit 100, Commerce City, CO 80022 | 2015-09-13 |
| 1720485881 | Melissa Nelson | Counselor | 13653 East 104th Ave, Suite 150, Commerce City, CO 80022 | 2014-12-04 |
| Find all providers in zip 80022 | ||||
| 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 |
|---|---|---|---|---|
| 1245853944 | Angelica L. Seto, Dds, Pllc | Dentist | 4972 E. 62nd Ave, Ste B-1, Commerce City, CO 80022 | 2020-05-28 |
| 1952957920 | Domonique Coleman | Dentist | 12253 E 104th Pl, Commerce City, CO 80022-2095 | 2019-08-14 |
| 1598318123 | Hero Dental of Commerce City PC | Dentist | 6075 E Parkway Dr Ste 160, Commerce City, CO 80022-5413 | 2019-07-23 |
| 1750850772 | Commerce City Dental Partners Pllc | Dentist | 6091 Dexter Street, Commerce City, CO 80022 | 2018-11-20 |
| 1750804274 | Erik Charles Westphal | Dentist | 15151 E 104th Ave Ste 103, Commerce City, CO 80022-8948 | 2017-07-18 |
| 1043760432 | Bright Star Kids Dentistry Pllc | Dentist | 13611 E 104th Ave, Commerce City, CO 80022-8439 | 2016-10-10 |
| 1417320623 | Perfect Teeth - Commerce City P.C. | Dentist | 15200 E. 104th Ave., Commerce City, CO 80022 | 2015-11-10 |
| 1144640210 | Commerce City Family Dental, L.L.C. | Dentist | 4972 E. 62nd Ave., Ste. B-1, Commerce City, CO 80022 | 2014-04-16 |
| 1083925473 | Tara Huntsman | Dentist | 18240 E 104th Ave Unit 201, Commerce City, CO 80022-0660 | 2010-06-30 |
| 1639376890 | Homer Ramsey Warner | Dentist | 7201 Monaco St, Commerce City, CO 80022-1720 | 2007-06-29 |
| Find all providers in COMMERCE CITY | ||||
| City | COMMERCE CITY |
| Zip Code | 80022 |
Please comment or provide details below to improve the information on DR. KEVIN M MCCORMACK.
| 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.