MY LOCAL COLORADO DENTAL PRACTICE, LLC (NPI# 1245870336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245870336 |
| Entity Type | Organization |
| Organization Name | MY LOCAL COLORADO DENTAL PRACTICE, LLC |
| Practice Address |
264 Union Blvd Ste 200 Lakewood CO 80228-1970 |
| Practice Telephone | 3034777700 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | MICHELLE JOHNSON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5093158338 |
| Is Organization Subpart | Y |
| Parent Organization Name | MY LOCAL COLORADO DENTAL PRACTICE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Mile High Dental and Implant Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952941650 | My Local Colorado Dental Practice, LLC | Dentist | 12031 Tejon St Ste 100, Westminster, CO 80234-2306 | 2020-01-10 |
| 1891335964 | My Local Colorado Dental Practice, LLC | Dentist | 1727 N Gilpin St, Denver, CO 80218-1205 | 2020-01-07 |
| 1396399069 | My Local Colorado Dental Practice, LLC | Dentist | 1691 Coalton Rd, Superior, CO 80027-4681 | 2019-07-30 |
| 1679127492 | My Local Colorado Dental Practice, LLC | Dentist | 200 Quebec St Unit 105, Denver, CO 80230-7144 | 2019-07-30 |
| 1265086920 | My Local Colorado Dental Practice, LLC | Dentist | 7505 E 35th Ave Unit 304, Denver, CO 80238-2460 | 2019-07-30 |
| 1376197046 | My Local Colorado Dental Practice, LLC | Dentist | 3541 E Harmony Rd Ste 130, Fort Collins, CO 80528-8816 | 2019-07-30 |
| 1043864705 | My Local Colorado Dental Practice, LLC | Dentist | 5021 S Jellison Way Unit C, Littleton, CO 80123-7377 | 2019-07-30 |
| 1528612298 | My Local Colorado Dental Practice, LLC | Dentist | 7685 Mclaughlin Rd Ste 100, Falcon, CO 80831-4751 | 2019-07-30 |
| 1417501180 | My Local Colorado Dental Practice, LLC | Dentist | 8410 Wadsworth Blvd Unit G, Arvada, CO 80003-0918 | 2019-07-30 |
| 1316591076 | My Local Colorado Dental Practice, LLC | Dentist | 150 Morning Sun Dr Ste 200w, Woodland Park, CO 80863-9160 | 2019-07-30 |
| Street Address |
264 UNION BLVD STE 200 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386706 | Westgate Family Dentistry | Dentist | 2323 S Wadsworth Blvd Ste 109, Lakewood, CO 80227-3254 | 2020-08-12 |
| 1467076034 | Cornelius Joseph Osullivan | Dentist | 13616 Madison Ave, Lakewood, OH 44107-4709 | 2020-05-30 |
| 1265082366 | Leong and Pandhoh Dental Corporation | Dentist | 2710 Carson St, Lakewood, CA 90712-4051 | 2019-09-19 |
| 1598319550 | Golnaz Sadat Samimifar | Dentist | 325 S Teller St Ste 280, Lakewood, CO 80226-7389 | 2019-07-29 |
| 1861044232 | Bryce Jeffrey Plancich | Dentist | 5726 100th St Sw, Lakewood, WA 98499-2730 | 2019-07-15 |
| 1578122628 | Marc Joseph Salme | Dentist | 386 E Fairmount Ave, Lakewood, NY 14750-2130 | 2019-06-12 |
| 1376023101 | Edward J Wang | Dentist | 5606 Lakewood Towne Center Blvd Sw Ste B, Lakewood, WA 98499-3894 | 2018-08-21 |
| 1740649839 | Justin Ford Becerra | Dentist | 2323 S Wadsworth Blvd Ste 1778, Lakewood, CO 80227-3274 | 2016-02-17 |
| 1740657378 | Timothy M. Schroeder Dds | Dentist | 6565 W Jewell Ave Ste 3, Lakewood, CO 80232-7102 | 2015-08-31 |
| 1053797811 | Sean Michael Davis | Dentist | 12985 W Montana Dr, Lakewood, CO 80228-4244 | 2015-08-04 |
| Find all providers in LAKEWOOD | ||||
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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.