MONUMENT CHILD DENTAL & ORTHODONTIC SPECIALISTS


Address: 16055 Old Forest Pt., Suite 202, Monument, CO 80132
Phone: 7194881101

MONUMENT CHILD DENTAL & ORTHODONTIC SPECIALISTS (NPI# 1992063176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992063176
Entity Type Organization
Organization Name MONUMENT CHILD DENTAL & ORTHODONTIC SPECIALISTS
Other Organization Name ERICKSON PEDIATRIC DENTISTRY & ORTHODONTICS
Practice Address 16055 Old Forest Pt.
Suite 202
Monument
CO 80132
Practice Telephone 7194881101
Practice Fax Number 7194881115
Mailing Telephone 7194881101
Mailing Fax Number 7194881115
Enumeration Date 2012-04-25
Last Update Date 2012-04-25
Authorized Official Name DR. JOSHUA B ERICKSON (OWNER)
Authorized Official Telephone 7194881101
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
9665 CO Dental Providers
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
9665 CO Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 86708350 05
CO 29102251 05

Other Provider/Organization Names

Other Name Type Code
Erickson Pediatric Dentistry & Orthodontics Doing Business As Name - Organization

Office Location

Street Address 16055 OLD FOREST PT.
SUITE 202
City MONUMENT
State CO
Zip Code 80132

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407314131 100 Percent Chiropractic Rodgers LLC Chiropractor 1495 Cipriani Loop, Monument, CO 80132 2019-03-12
1417421025 Jackson Creek Assisted Living, LLC Assisted Living Facility 16601 Jackson Creek Parkway, Monument, CO 80132 2019-01-16
1609357144 Baptist Road Dental Dentist 1036 Baptist Road, Monument, CO 80132 2018-08-23
1609352186 Mountain Springs Recovery LLC Substance Abuse Rehabilitation Facility 1865 Woodmoor Dr, Monument, CO 80132 2018-07-17
1528553070 Comfort Dental Oral Surgery Colorado Springs LLC Dentist 556 W. Hwy 105, Monument, CO 80132 2018-06-27
1265926844 Lauren Elizabeth Nasuti Massage Therapist 17232 Jackson Creek Pkwy, #300, Monument, CO 80132 2018-06-18
1578079224 Courtney Hopkins Behavior Technician 590 Hwy 105 Suite 105, Monument, CO 80132 2017-12-18
1033623475 Deborah Tebault Counselor 220 N. Washington St., Suite F, Monument, CO 80132 2017-11-21
1902347578 Monument Dentists and Orthodontics, LLP Dentist 950 W Baptist Road, Suite 100, Monument, CO 80132 2017-03-16
1972909463 Timothy P O'connor Counselor 3065 Mt. Herman Rd., Monument, CO 80132 2014-11-10
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578181103 Stettler Kr Broadmoor Pllc Dentist 4515 Broadmoor Bluffs Dr, Colorado Springs, CO 80906-8647 2020-07-09
1043842453 Highlands Pediatric Dentistry Dentist 3141 Irving St Unit 200, Denver, CO 80211-3654 2020-02-04
1174163711 J Patrick Bowman Dmd Pllc Dentist 1280 S Pearl St, Denver, CO 80210-1538 2020-01-12
1487211124 Rebecca Goldberg, Dds, Pllc Dentist 2975 Roslyn St Unit 160, Denver, CO 80238-3326 2019-05-28
1427521509 Kids Mile High Thornton Pllc Dentist 7375 E. 128th Ave, Thornton, CO 80602 2019-01-10
1578060299 Julia Rose Wiegand Dentist 2352 Meadows Blvd Ste 200, Castle Rock, CO 80109-8408 2018-04-09
1215432141 Dan Duy Hoang Dentist 660 Southpointe Ct Ste 100, Colorado Springs, CO 80906-3806 2018-03-23
1053851485 Allison Threlkeld Davis Dentist 404 E Mineral Ave Ste A, Littleton, CO 80122-2611 2017-03-04
1649624362 Curley Peak Dentistry Pllc Dentist 1640 W Fortino Blvd, Pueblo, CO 81008 2016-04-19
1942673512 A. P. Smithwick D.d.s. IIi Professional LLC Dentist 125 Inverness Dr E Ste 300, Englewood, CO 80112-5139 2015-11-04
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Competitor

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City MONUMENT
Zip Code 80132

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Dataset Information

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.

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