COLORADO DENTAL PROFESSIONALS, LLC (NPI# 1962059931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962059931 |
| Entity Type | Organization |
| Organization Name | COLORADO DENTAL PROFESSIONALS, LLC |
| Practice Address |
655 Southpointe Ct Ste 150 Colorado Springs CO 80906-3859 |
| Practice Telephone | 7195279098 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |
| Authorized Official Name | TABATHA LEMKE (CREDENTIALING) |
| Authorized Official Telephone | 2175406078 |
| 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 |
|---|---|
| Southpointe Complete Dental | 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 |
| 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 |
| 1902265382 | Colorado Dental Professionals, LLC | Dentist | 12889 Quebec Street, Thornton, CO 80602 | 2016-02-15 |
| 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 |
655 SOUTHPOINTE CT STE 150 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-3859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| 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 |
|---|---|---|---|---|
| 1295342640 | Union Blvd Dental Pllc | Dentist | 3920 N Union Blvd Ste 380, Colorado Springs, CO 80907-4922 | 2020-09-29 |
| 1548877608 | Elbert Dental Pllc | Dentist | 6140 Tutt Blvd Ste 140, Colorado Springs, CO 80923-3574 | 2020-09-23 |
| 1063035863 | Elbert Dental Pllc | Dentist | 6240 Woodmen Park Vw, Colorado Springs, CO 80923-2616 | 2020-05-27 |
| 1932735750 | Center Point Dental Pllc | Dentist | 5410 Powers Center Pt Ste 200, Colorado Springs, CO 80920-7148 | 2020-03-13 |
| 1881228245 | Powers Dental Specialists LLC | Dentist | 5740 N Carefree Cir Ste 150, Colorado Springs, CO 80917-2787 | 2020-02-25 |
| 1174167217 | Elbert Dental Pllc | Dentist | 6665 Delmonico Dr Ste C, Colorado Springs, CO 80919-1895 | 2019-11-01 |
| 1750875019 | Steven George | Dentist | 5925 Lehman Dr Ste 2, Colorado Springs, CO 80918-3418 | 2018-06-20 |
| 1962995068 | Trenton Jeffery Platt | Dentist | 2465 Research Pkwy Ste 100, Colorado Springs, CO 80920-1089 | 2018-06-13 |
| 1710477732 | Dental Health Professionals of Colorado | Dentist | 830 Tenderfoot Hill Rd Ste 210, Colorado Springs, CO 80906-7372 | 2018-05-15 |
| 1033606124 | Kristina Reck | Dentist | 3340 W Woodmen Rd, Colorado Springs, CO 80919 | 2018-04-16 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
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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.