YUMA FAMILY DENTAL, P.C. (NPI# 1265608160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265608160 |
| Entity Type | Organization |
| Organization Name | YUMA FAMILY DENTAL, P.C. |
| Practice Address |
900 S Ash St Yuma CO 80759 |
| Mailing Address |
Po Box 402 Yuma CO 80759-0402 |
| Practice Telephone | 9708485777 |
| Practice Fax Number | 9708482382 |
| Mailing Telephone | 9708485777 |
| Mailing Fax Number | 9708482382 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |
| Authorized Official Name | BROCK J JOHNSON (OWNER/DENTIST) |
| Authorized Official Telephone | 9708485777 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
CO | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Yuma Family Dental, P.C. | 900 S Ash Street, Yuma, CO 80759 |
| Street Address |
900 S ASH ST |
| City | YUMA |
| State | CO |
| Zip Code | 80759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972913960 | Bgr Dental, Pllc | Clinic/Center | 900 S Ash St, Yuma, CO 80759 | 2014-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013049006 | Brock Jonathan Johnson | Dentist | 900 S. Ash St., Yuma, CO 80759 | 2007-03-12 |
| 1861524852 | Erin Crosthwait Nowland | Dentist | 900 South Ash Street, Yuma, CO 80759 | 2007-03-12 |
| 1770628307 | Professional Pharmacy Services, Inc. | Pharmacy | 315 E 8th Ave, Yuma, CO 80759 | 2007-02-21 |
| 1770687154 | Town of Yuma | Ambulance | 302 E 2nd Ave, Yuma, CO 80759 | 2006-09-07 |
| 1437114428 | Elizabeth L Hickman | Psychologist | 215 South Ash, Yuma, CO 80759 | 2006-04-20 |
| 1023251592 | Elena Sarai Melendez | Massage Therapist | 313 N Buffalo St, Yuma, CO 80759-1605 | 2009-04-14 |
| 1548444151 | Hannah L Martens | Counselor | 215 S Ash St, Yuma, CO 80759-1903 | 2007-12-19 |
| 1134606205 | Chery Beaupreuz | Social Worker | 215 S Ash St, Yuma, CO 80759-1903 | 2018-07-23 |
| 1578082053 | Centennial Mental Health Center, Inc. | Clinic/Center | 215 S Ash St, Yuma, CO 80759-1903 | 2017-09-15 |
| 1265958144 | Jamie Mondragon | Social Worker | 215 S Ash St, Yuma, CO 80759-1903 | 2017-08-22 |
| Find all providers in zip 80759 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389510 | Ocotillo Dental Associates LLC | Clinic/Center | 11259 S Frontage Rd Ste 103, Yuma, AZ 85367-7883 | 2020-09-08 |
| 1548797996 | Orthodontic Specialists of Yuma | Clinic/Center | 2851 S Avenue B Ste 18, Yuma, AZ 85364-7726 | 2017-05-16 |
| 1972913960 | Bgr Dental, Pllc | Clinic/Center | 900 S Ash St, Yuma, CO 80759 | 2014-04-30 |
| 1215295951 | Collet Masillamoni, Dds | Clinic/Center | 240 E 24th St, Yuma, AZ 85364-8547 | 2012-05-01 |
| 1174824619 | Justin Church Dmd Plc | Clinic/Center | 2540 S 4th Ave, Yuma, AZ 85364-7286 | 2010-11-16 |
| 1588990642 | Justin Church Dmd Plc | Clinic/Center | 550 W 16th St, Yuma, AZ 85364-4632 | 2009-10-26 |
| 1386833184 | Kathleen E. Mcdonald, Dmd,pc. | Clinic/Center | 2244 S Ave A, Suite B, Yuma, AZ 85364-8341 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669074 | Red House | Clinic/Center | 440 S Lincoln Ave Ste B10, Steamboat Springs, CO 80487-8935 | 2020-11-02 |
| 1881294387 | Scott Holm Dmd Pllc | Clinic/Center | 685 Citadel Dr E Ste 200b, Colorado Springs, CO 80909-5315 | 2020-10-26 |
| 1205435013 | Kids In Need of Dentistry | Clinic/Center | 4201 E 72nd Ave Unit D, Commerce City, CO 80022-1578 | 2020-10-22 |
| 1619576428 | Kids In Need of Dentistry | Clinic/Center | 925 N Lincoln St Ste B, Denver, CO 80203-2784 | 2020-10-22 |
| 1477151173 | Professional Dental Care of New Mexico | Clinic/Center | 10233 S Parker Rd Ste 107, Parker, CO 80134-9314 | 2020-10-14 |
| 1023615556 | Vida Orthodontics | Clinic/Center | 19551 Hess Rd Unit 110, Parker, CO 80134-3446 | 2020-10-07 |
| 1417554668 | Turner, Pllc | Clinic/Center | 5361 S Gray St, Denver, CO 80123-5110 | 2020-10-01 |
| 1316553860 | Willow Creek Perfect Teeth PC | Clinic/Center | 8150 S Quebec St Ste C, Centennial, CO 80112-3186 | 2020-09-21 |
| 1326653841 | Nic - Denver, Pllc | Clinic/Center | 8000 E Prentice Ave Ste A3, Greenwood Village, CO 80111-2725 | 2020-09-11 |
| 1568075489 | Open and Affordable Dental Cs North Pllc | Clinic/Center | 6375 Lehman Dr Ste 200, Colorado Springs, CO 80918-1427 | 2020-08-29 |
| Find all providers with the same taxonomy | ||||
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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.