NICKEL STREET DENTAL PC (NPI# 1932559721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932559721 |
| Entity Type | Organization |
| Organization Name | NICKEL STREET DENTAL PC |
| Practice Address |
300 Nickel St Ste 10,11 Broomfield CO 80020-2013 |
| Practice Telephone | 7192413140 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Authorized Official Name | TACI COOPER (OFFICE MANAGER) |
| Authorized Official Telephone | 7192413140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Nickel Street Dental PC | 233 S Pleasant Grove Blvd Ste 102, Pleasant Grove, UT 84062 |
| Street Address |
300 NICKEL ST STE 10,11 |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80020-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114998788 | Colorado Physical Therapy Institute, P.C. | Specialist | 300 Nickel St, Ste 6, Broomfield, CO 80020-2097 | 2006-01-31 |
| 1417308982 | Chelsea Walters | Hearing Instrument Specialist | 300 Nickel St, #15, Broomfield, CO 80020-2013 | 2016-06-27 |
| 1710313929 | Jacobe Mark Holman | Chiropractor | 300 Nickel St, Suite 9, Broomfield, CO 80020-2013 | 2013-09-19 |
| 1942632211 | Sheri Barton | Massage Therapist | 300 Nickel St, Unit 6, Broomfield, CO 80020 | 2013-08-08 |
| 1700156296 | Christopher Philip Mccarron | Audiologist | 300 Nickel St, Suite 15, Broomfield, CO 80020-2013 | 2011-12-30 |
| 1700073087 | Courtney Ann Spivey | Physical Therapist | 300 Nickel St, Ste 6, Broomfield, CO 80020-2097 | 2007-10-01 |
| 1568520955 | Roy Wortham | Dentist | 300 Nickel St, Suite 11, Broomfield, CO 80020-2013 | 2006-12-05 |
| 1033291398 | Barbara Crawford | Physical Therapist | 300 Nickel St, Broomfield, CO 80020-2013 | 2006-10-19 |
| 1639251986 | Roger C Rettig | Physical Therapist | 300 Nickel St, Suite 6, Broomfield, CO 80020-2097 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| 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 |
|---|---|---|---|---|
| 1346848496 | Vantage Pointe Dental Pllc | Dentist | 11410 Via Varra Unit 400, Broomfield, CO 80020-9764 | 2020-10-12 |
| 1730793803 | Alexis Marie Gerry | Dentist | 13606 Xavier Lane Suite B, Broomfield, CO 80023 | 2020-09-04 |
| 1366918757 | Justin J Kwon Dds, P.C. | Dentist | 290 Nickel St Ste 500, Broomfield, CO 80020-2129 | 2018-10-23 |
| 1265954713 | Erin Janine Bartlett | Dentist | 205 Jade St, Broomfield, CO 80020-2256 | 2017-07-15 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1831572155 | Holland K Killian | Dentist | 2005 W 136th Ave Unit 136, Broomfield, CO 80023-9325 | 2015-07-06 |
| 1740623578 | Leanne Malia Cassella Nichols | Dentist | 2055 W 136th Ave, Suite 136, Broomfield, CO 80023-9308 | 2013-04-11 |
| 1073868766 | Brandon Dean Campbell | Dentist | 2463 Quail Creek Dr, Broomfield, CO 80023-6536 | 2012-07-18 |
| 1619207594 | Broomfield Modern Dentistry and Orthodontics, LLP | Dentist | 4490 W 121st Ave Ste 7, Broomfield, CO 80020-5665 | 2009-12-28 |
| 1487887451 | Derek Gene Petersen | Dentist | 3303 W 144th Ave Unit 100, Broomfield, CO 80023-9464 | 2009-08-25 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80020 |
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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.