1. Home
  2. Directory
  3. Colorado
  4. Louisville
  5. Dentist
  6. NPI Profile

EVERGREEN DENTAL ANESTHESIA PLLC
NPI 1821684713
Dentist - Dentist Anesthesiologist in Louisville, CO

Active since December 15, 2020
357 MCCASLIN BLVD STE 200, LOUISVILLE, CO 80027(970) 699-8954 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Dental Anesthesia Pllc NPPES

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

EVERGREEN DENTAL ANESTHESIA PLLC (NPI 1821684713), doing business as Evergreen Dental Anesthesia, is a healthcare organization registered as a dentist anesthesiologist in Louisville, Colorado and active in the NPI registry since December 2020. The organization lists Nathan James Carillo, President/owner, as its authorized official.

NPPES Registry Identity

NPI1821684713
Entity TypeOrganization
Primary Taxonomy1223D0004X
Legal Business NameEVERGREEN DENTAL ANESTHESIA PLLC
Location Address357 MCCASLIN BLVD STE 200Louisville, CO 80027-2932
Mailing Address357 Mccaslin Blvd Ste 200Louisville, CO 80027-2932 · (970) 699-8954
Phone(970) 699-8954
Organization SubpartNo
Authorized OfficialNathan James CarilloPresident/owner · (562) 673-8732
Enumeration DateDecember 15, 2020
NPPES CertifiedDecember 15, 2020
✔ NPI 1821684713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
357 MCCASLIN BLVD STE 200, Louisville, CO 80027
Open in Google Maps ↗

Other Names 1

Doing Business AsEvergreen Dental Anesthesia

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

JESUS SANCHEZ PHD PLLC
Psychologist (Clinical)
357 MCCASLIN BLVD STE 200
LOUISVILLE, CO 80027
Boulder County (720) 360-1801
DR. SARA LIEPPE PSY.D.
Psychologist (Clinical)
357 MCCASLIN BLVD STE 200
LOUISVILLE, CO 80027
Boulder County (415) 425-3143
ALISON ROTH LMFT MA
Marriage & Family Therapist
357 MCCASLIN BLVD STE 200
LOUISVILLE, CO 80027
Boulder County (310) 488-9760
GRETCHEN READ
Social Worker (Clinical)
357 MCCASLIN BLVD STE 200
LOUISVILLE, CO 80027
Boulder County (720) 936-7645
BRENNALYNN MIRIAM FLAHERTY
Social Worker (Clinical)
357 MCCASLIN BLVD STE 200
LOUISVILLE, CO 80027
Boulder County (720) 446-9534
NANCY SIMS MA CCC-SLP LLC
Speech-Language Pathologist
357 MCCASLIN BLVD STE 200
LOUISVILLE, CO 80027
Boulder County (720) 308-5426
COAL CREEK COUNSELING ASSOCIATES
Clinic/Center
357 MCCASLIN BLVD STE 200
LOUISVILLE, CO 80027
Boulder County (720) 233-5114
DR. JESUS SANCHEZ PH.D.
Psychologist (Clinical)
357 MCCASLIN BLVD STE 200
LOUISVILLE, CO 80027
Boulder County (720) 360-1801

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 Evergreen Dental Anesthesia PLLC's NPI number?

The NPI number for Evergreen Dental Anesthesia PLLC is 1821684713. It was assigned to this organization in the NPPES registry on December 15, 2020. The provider is doing business as Evergreen Dental Anesthesia.

Where is Evergreen Dental Anesthesia PLLC located?

Evergreen Dental Anesthesia PLLC is located at 357 Mccaslin Blvd Ste 200, Louisville, CO 80027. The listed phone number is (970) 699-8954.

What is Evergreen Dental Anesthesia PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Evergreen Dental Anesthesia PLLC was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.