COLORADO DENTAL PROFESSIONALS, LLC (NPI# 1902265382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902265382 |
| Entity Type | Organization |
| Organization Name | COLORADO DENTAL PROFESSIONALS, LLC |
| Other Organization Name | FAMILY DENTAL OF THORNTON |
| Practice Address |
12889 Quebec Street Thornton CO 80602 |
| Practice Telephone | 3035577678 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Authorized Official Name | KENDRA WALKER (CREDENTIALING TEAM LEAD) |
| Authorized Official Telephone | 2175408312 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLORADO DENTAL PROFESSIONALS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Family Dental of Thornton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179521 | Colorado Dental Professionals, LLC | Dentist | 13075 Copperhead Trl, Parker, CO 80134-6243 | 2020-06-24 |
| 1578101200 | Colorado Dental Professionals, LLC | Dentist | 8290 S Holly St Ste A, Centennial, CO 80122-4029 | 2019-12-12 |
| 1306487053 | Colorado Dental Professionals, LLC | Dentist | 14823 W 91st Pl, Arvada, CO 80005-1454 | 2019-10-03 |
| 1962059931 | Colorado Dental Professionals, LLC | Dentist | 655 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3859 | 2019-08-23 |
| 1700449436 | Colorado Dental Professionals, LLC | Dentist | 904 Hailey Ln Ste A, Pueblo West, CO 81007-4456 | 2019-04-18 |
| 1689145609 | Colorado Dental Professionals, LLC | Dentist | 6726 S Revere Pkwy # A140, Centennial, CO 80112-3961 | 2018-12-17 |
| 1326553819 | Colorado Dental Professionals, LLC | Dentist | 2297 State Highway 7, Erie, CO 80516-8009 | 2017-12-06 |
| 1255843975 | Colorado Dental Professionals, LLC | Dentist | 440 Erie Pkwy, Erie, CO 80516 | 2017-11-03 |
| 1477065506 | Colorado Dental Professionals, LLC | Dentist | 7520 Bierstadt Hts Ste 125, Falcon, CO 80831-6177 | 2017-10-30 |
| 1720171564 | Colorado Dental Professionals, LLC | Dentist | 6980 Mesa Ridge Parkway, Suite 200, Fountain, CO 80817 | 2006-10-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Colorado Dental Professionals, LLC | 1900 W. Littleton Blvd, Littleton, CO 80120 |
| Street Address |
12889 QUEBEC STREET |
| City | THORNTON |
| State | CO |
| Zip Code | 80602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736810 | Advanced Heart and Vein Center Inc | Internal Medicine | 805 E 144th Avenue, Suite 100, Thornton, CO 80602 | 2020-10-06 |
| 1427521509 | Kids Mile High Thornton Pllc | Dentist | 7375 E. 128th Ave, Thornton, CO 80602 | 2019-01-10 |
| 1336637701 | Rachel Paige Bruening | Behavior Technician | 13443 Tamarac Pl, Thornton, CO 80602 | 2018-05-01 |
| 1053865758 | Mckay Stott Pearson | Dentist | 3662 E 141st Pl, Thornton, CO 80602 | 2016-08-10 |
| 1851788384 | Cheryl Ann Kirkland | Technician | 7523 E 130th Cir., Thornton, CO 80602 | 2015-04-22 |
| 1467722405 | Christie Lynn Kraeger | Social Worker | 2717 E 139th Place, Thornton, CO 80602 | 2012-01-09 |
| 1457635328 | Bindu Kurien | Pharmacist | 13611 N.colorado Blvd, Thornton, CO 80602 | 2011-10-10 |
| 1891092664 | Catholic Health Initiatives Colorado | Family Medicine | 13691 Colorado Blvd., Suite 106, Thornton, CO 80602 | 2011-02-14 |
| 1740401306 | Lori Louise Ross | Speech-Language Pathologist | 13844 Jackson Street, Thornton, CO 80602 | 2007-05-01 |
| 1497813984 | Sherry R Dawson | Counselor | 5061 E 160th Ave, Brighton, CO 80602 | 2006-12-05 |
| Find all providers in zip 80602 | ||||
| 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 |
| 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 |
| 1881908630 | Erin M Deedy-lee | Dentist | 10260 Washington St, Unit 1321, Thornton, CO 80229-2053 | 2010-08-04 |
| 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.