CARA L MUDD (NPI# 1962448191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962448191 |
| Entity Type | Individual |
| Full Name | CARA L MUDD |
| Other Name | CARA L GOODWIN |
| Credential | DDS, MSD |
| Practice Address |
14697 Delaware Street Bldg. B, Suite #210 Westminster CO 80023 |
| Practice Telephone | 3036500310 |
| Practice Fax Number | 3036500311 |
| Mailing Telephone | 3036500310 |
| Mailing Fax Number | 3036500311 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8289 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE BLUESHIELD INS | 5812MU | 01 |
| DEA | BM7395519 | 01 | |
| WA | 5046693 | 05 |
| Street Address |
14697 DELAWARE STREET BLDG. B, SUITE #210 |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793803 | Alexis Marie Gerry | Dentist | 13606 Xavier Lane Suite B, Broomfield, CO 80023 | 2020-09-04 |
| 1023646973 | Jonathan Michael Dill | Student in an Organized Health Care Education/Training Program | 14300 Orchard Parkway - 1st Floor, Westminster, CO 80023 | 2020-03-27 |
| 1821624594 | Kelley Stephenson | Social Worker | 469 Co-7, Broomfield, CO 80023 | 2020-03-13 |
| 1205482031 | Visionary Eye Care, Pllc | Optometrist | 16860 Sheridan Parkway, Unit 106, Broomfield, CO 80023 | 2019-08-16 |
| 1104387810 | Daniel Ojala | Student in an Organized Health Care Education/Training Program | 14300 Orchard Pkwy, 1 St Floor, Westminster, CO 80023 | 2019-03-26 |
| 1184102527 | Kristina Elizabeth Rainwater | Occupational Therapist | 3303 W 144th Ave #207, Broomfield, CO 80023 | 2018-07-28 |
| 1689122467 | Jane Vela | Physical Therapist | 14866 Falcon Drive, Broomfield, CO 80023 | 2016-09-21 |
| 1134573850 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 500 W 144th Ave Ste 200, Westminster, CO 80023 | 2016-04-19 |
| 1235541426 | Hearthside Dentistry | Dentist | 16578 N Washington St, Thornton, CO 80023 | 2014-05-22 |
| 1295168698 | Christina O Mcmillon Dentistry, Pllc | Dentist | 16578 North Washington St, Thornton, CO 80023 | 2013-08-21 |
| Find all providers in zip 80023 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154638328 | Nicole Claire Mcnear | Dentist | 905 W 124th Ave Ste 190, Westminster, CO 80234-1716 | 2010-09-08 |
| 1649591272 | John Patrick Bowman | Dentist | 14422 Orchard Pkwy Ste 200, Westminster, CO 80023 | 2010-06-17 |
| 1952449795 | Steven T Le | Dentist | 9550 Bolsa Ave Ste 218, Westminster, CA 92683-3308 | 2007-02-02 |
| 1154396836 | Elizabeth S Barr | Dentist | 5150 W. 80th A Ve, Westminster, CO 80030 | 2006-02-17 |
| 1457325342 | Nelle V. Barr | Dentist | 5150 W 80th Ave, Westminster, CO 80030-4449 | 2006-02-15 |
| 1992200836 | Grace Michelle Diehl | Dentist | 5150 W 80th Ave, Westminster, CO 80030-4449 | 2018-03-23 |
| 1598109613 | Sarah Elizabeth Glatt Villasenor | Dentist | 14697 Delaware St, #210, Westminster, CO 80023-9178 | 2013-04-19 |
| 1700028891 | Steven Le Dental Corporation | Dentist | 8413 Westminster Blvd, Westminster, CA 92683-3308 | 2009-04-03 |
| 1225147390 | Children's Dentistry | Dentist | 5150 W 80th Ave, Westminster, CO 80030-4449 | 2006-08-30 |
| 1699749598 | Sean R Whalen | Dentist | 5150 W 80th Ave, Westminster, CO 80030-4449 | 2006-02-15 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80023 |
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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.