GREELEY DENTAL HEALTH
Complete NPI Record 1669824314
Dentist - General Practice in Colorado Springs, CO
Active since July 06, 2016
Complete NPI Dataset
This page contains the complete raw NPPES record for Greeley Dental Health (NPI 1669824314), a dentist organization in Colorado Springs, CO. All 29 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1669824314 Field 1/29
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/29
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/29
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: MY LOCAL COLORADO DENTAL PRACTICE, LLC Field 4/29
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: GREELEY DENTAL HEALTH Field 5/29
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 3 Field 6/29
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 6110 BARNES RD Field 7/29
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: COLORADO SPRINGS Field 8/29
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CO Field 9/29
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 809222600 Field 10/29
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/29
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 7192662717 Field 12/29
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 7192132311 Field 13/29
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 6110 BARNES RD Field 14/29
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: COLORADO SPRINGS Field 15/29
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CO Field 16/29
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 809222600 Field 17/29
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 18/29
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 7196303366 Field 19/29
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: JOHNSON Field 22/29
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: MICHELLE Field 23/29
- The first name of the authorized official.
- Authorized Official Title or Position: CREDENTIALING SPECIALIST Field 24/29
- The title or position of the authorized official.
- Authorized Official Telephone Number: 5093158338 Field 25/29
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 1223G0001X Field 26/29
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 27/29
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 28/29
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 29/29
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Other Organization Names 23
Additional business and trade names this provider has on file with the NPPES registry.
38th Modern Dental Doing Business As
Name 1/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Advantage Dental Group Doing Business As
Name 2/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
All Smiles Dental Group Doing Business As
Name 3/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Apple Tree Dental Doing Business As
Name 4/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Castle Pines Dental Group Doing Business As
Name 5/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
College Ave Modern Dental Doing Business As
Name 6/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
East Harmony Dental Doing Business As
Name 7/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Flatirons Family Dental and Orthodontics Doing Business As
Name 8/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Fountain Dental Center Doing Business As
Name 9/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
GVR Dental and Orthodontics Doing Business As
Name 10/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Hampden Dental Group Doing Business As
Name 11/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Highlands Ranch Dental Group Doing Business As
Name 12/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
KIP Dental and Orthodontics Doing Business As
Name 13/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Lone Tree Modern Dental Doing Business As
Name 14/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Lowry Main Street Dental Doing Business As
Name 15/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Mountain Shadows Dental Doing Business As
Name 16/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
My Dentist Doing Business As
Name 17/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Panorama Dental Doing Business As
Name 18/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
South Springs Dental Group Doing Business As
Name 19/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Stapleton Modern Dental Doing Business As
Name 20/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Stetson Hills Dental Doing Business As
Name 21/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Windsor Family Dentistry Doing Business As
Name 22/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Woodland Park Dental Group Doing Business As
Name 23/23Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Secondary Practice Locations 24
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
3550 W 38th Ave # 5
Location 1/24Denver, CO 80211-1972 · Phone (303) 515-7008
1160 W Ash St
Location 2/24Windsor, CO 80550-4666 · Phone (970) 686-1186
3617 S College Ave Unit B
Location 3/24Fort Collins, CO 80525-3009 · Phone (970) 233-8933
2800 E 136th Ave
Location 4/24Thornton, CO 80241-3417 · Phone (720) 872-2892
5021 S Jellison Way Unit C
Location 5/24Littleton, CO 80123-7306 · Phone (720) 608-5557
11078 Cimarron St Unit H
Location 6/24Firestone, CO 80504-6600 · Phone (303) 485-6595
1691 Coalton Rd
Location 7/24Superior, CO 80027-4610 · Phone (720) 304-3267
1600 23rd Ave Ste 200
Location 8/24Greeley, CO 80634-6071 · Phone (970) 353-4329
150 Morning Sun Dr Ste 200W
Location 9/24Woodland Park, CO 80863-9160 · Phone (719) 484-8490
6514 S Academy Blvd
Location 10/24Colorado Springs, CO 80906-8614 · Phone (719) 494-0718
8085 Fountain Mesa Rd
Location 11/24Fountain, CO 80817-1591 · Phone (719) 382-5500
5910 Stetson Hills Blvd Ste 110
Location 12/24Colorado Springs, CO 80923-3580 · Phone (719) 694-0400
1800 Fortino Blvd
Location 13/24Pueblo, CO 81008-1890 · Phone (719) 545-1400
562 E Castle Pines Pkwy Ste C8
Location 14/24Castle Pines, CO 80108-4609 · Phone (720) 457-1111
9227 E Lincoln Ave Ste 100
Location 15/24Lone Tree, CO 80124-5504 · Phone (720) 943-2153
9385 S Colorado Blvd Unit 102
Location 16/24Highlands Ranch, CO 80126-5241 · Phone (720) 439-2984
3095 S Parker Rd Ste 150
Location 17/24Aurora, CO 80014-2917 · Phone (303) 755-8388
200 Quebec St Unit 105
Location 18/24Denver, CO 80230-7144 · Phone (303) 364-6659
18121 E Hampden Ave Unit E
Location 19/24Aurora, CO 80013-3591 · Phone (303) 317-5335
4998 Tower Rd
Location 20/24Denver, CO 80249-6684 · Phone (303) 317-5545
3541 E Harmony Rd Ste 130
Location 21/24Fort Collins, CO 80528-8816 · Phone (970) 829-8209 · Fax (719) 213-2311
7505 E 35th Ave Unit 304
Location 22/24Denver, CO 80238 · Phone (303) 785-8991 · Fax (888) 790-7062
2721 W 120th Ave Ste 200
Location 23/24Westminster, CO 80234-2946 · Phone (303) 586-6985
3955 E 120th Ave Ste B
Location 24/24Thornton, CO 80233-2075 · Phone (303) 255-4855
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