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MEDICAID DENTAL HOME
NPI 1336570167
Dentist - Dental Public Health in Colorado Springs, CO

Active since December 04, 2013
2125 E LA SALLE ST, COLORADO SPRINGS, CO 80909(719) 310-3315 Get Directions Write a Review

NPPES record last updated: December 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medicaid Dental Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAID DENTAL HOME (NPI 1336570167) is a healthcare organization registered as a dental public health in Colorado Springs, Colorado and active in the NPI registry since December 2013. The organization lists Michelle Vacha, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336570167
Entity TypeOrganization
Primary Taxonomy1223D0001X
Legal Business NameMEDICAID DENTAL HOME
Location Address2125 E LA SALLE STColorado Springs, CO 80909-2274
Mailing Address2604 Flintridge DrColorado Springs, CO 80918-4408 · (719) 338-2195
Phone(719) 310-3315
Organization SubpartNo
Authorized OfficialMichelle VachaExecutive Director · (719) 338-2195
Enumeration DateDecember 4, 2013
✔ NPI 1336570167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License✔ Licensed in CO · 8109
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Also ListedDental HygienistTaxonomy 124Q00000X · License 903783 (CO)
2125 E LA SALLE ST, Colorado Springs, CO 80909
Open in Google Maps ↗

Other Identifiers 1

Medicaid84887761CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH WIEHE DPT
Physical Therapist
2125 E LA SALLE ST
COLORADO SPRINGS, CO 80909
El Paso County (719) 219-3402
REBECCA ELIZABETH ABBOTT PT, DPT, PHD
Physical Therapist
2125 E LA SALLE ST
COLORADO SPRINGS, CO 80909
El Paso County (612) 234-2580
MS. MARY VANOYEN FORCE MS, ANP-BC, BSN
Clinic/Center
2125 E LA SALLE ST
COLORADO SPRINGS, CO 80909
El Paso County (719) 219-3402
CHRISTIAN HEALING NETWORK
Clinic/Center (Community Health)
2125 E LA SALLE ST
COLORADO SPRINGS, CO 80909
El Paso County (719) 219-3402
W A MUNSON MD LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2125 E LA SALLE ST, SUITE M13
COLORADO SPRINGS, CO 80909
El Paso County (719) 473-3636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medicaid Dental Home's NPI number?

The NPI number for Medicaid Dental Home is 1336570167. It was assigned to this organization in the NPPES registry on December 4, 2013.

Where is Medicaid Dental Home located?

Medicaid Dental Home is located at 2125 E La Salle St, Colorado Springs, CO 80909. The listed phone number is (719) 310-3315.

What is Medicaid Dental Home's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

When was this NPI record last updated?

The NPPES record for Medicaid Dental Home was last updated on December 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.