FRONT RANGE PEDIATRIC DENTISTRY, PLLC (NPI# 1285021543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285021543 |
| Entity Type | Organization |
| Organization Name | FRONT RANGE PEDIATRIC DENTISTRY, PLLC |
| Other Organization Name | COOL MOUNTAIN KIDS PEDIATRIC DENTISTRY |
| Practice Address |
6160 Tutt Blvd Suite 140 Colorado Springs CO 80923-3500 |
| Practice Telephone | 7195501010 |
| Practice Fax Number | 7195501212 |
| Mailing Telephone | 7195501010 |
| Mailing Fax Number | 7195501212 |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |
| Authorized Official Name | DR. DEREK MILLER (OWNER) |
| Authorized Official Telephone | 7195501010 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DEN9841 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 64479871 | 05 |
| Other Name | Type Code |
|---|---|
| Cool Mountain Kids Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
6160 TUTT BLVD SUITE 140 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80923-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801891924 | Eric Howard Silverstein | Obstetrics & Gynecology | 6160 Tutt Blvd, Suite 210, Colorado Springs, CO 80922-3568 | 2005-06-15 |
| 1811519911 | Panorama Orthopedics & Spine Center, PC | Clinic/Center | 6160 Tutt Blvd, Colorado Springs, CO 80923-3500 | 2020-05-12 |
| 1639703812 | Eric Nicholas Mack | Occupational Therapist | 6160 Tutt Blvd, Colorado Springs, CO 80923-3500 | 2020-02-26 |
| 1811549884 | Angelina Marie Giuliano | Specialist | 6160 Tutt Blvd, Colorado Springs, CO 80923-3500 | 2019-07-10 |
| 1558870402 | Cassandra J Sergeant | Assistant Behavior Analyst | 6160 Tutt Blvd, Colorado Springs, CO 80923-3500 | 2017-09-22 |
| 1003362450 | Mcvay Foot & Ankle, PC | Podiatrist | 6160 Tutt Blvd, Ste 150, Colorado Springs, CO 80923-3500 | 2016-08-26 |
| 1104275601 | Lewis Baumann | Physical Therapist | 6160 Tutt Blvd, Colorado Springs, CO 80923-3500 | 2016-06-06 |
| 1487003976 | Lynn M Williams | Physical Therapist | 6160 Tutt Blvd, Suite 240, Colorado Springs, CO 80923-3500 | 2016-06-06 |
| 1134587322 | Renae Elizabeth Guzman | Massage Therapist | 6160 Tutt Blvd, Suite 102, Colorado Springs, CO 80923 | 2016-02-03 |
| 1447617790 | Power of Massage | Massage Therapist | 6160 Tutt Blvd, Suite 102, Colorado Springs, CO 80923-3500 | 2016-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1750993861 | Kara Pitou | Dietitian, Registered | 7064 Renegade Ridge Dr, Colorado Springs, CO 80923 | 2020-08-19 |
| 1366933632 | The Traveling Therapist, LLC | Social Worker | 6319 Sundance Kid Dr, Colorado Springs, CO 80923 | 2018-05-22 |
| 1669972246 | Stacy H Furukawa | Behavior Technician | 5719 Hawk Springs Dr, Colorado Springs, CO 80923 | 2018-02-20 |
| 1528573854 | Wal-mart Sores, Inc. | Durable Medical Equipment & Medical Supplies | 7825 Dublin Blvd, Colorado Springs, CO 80923 | 2017-12-08 |
| 1699148544 | Kristin Sekelsky | Nurse Practitioner | 6160 Tutt Blvd Ste 150, Colorado Springs, CO 80923 | 2015-11-01 |
| 1164826640 | Nancy Bakhtiar | Massage Therapist | 6160 Tutt Blve #102, Colorado Springs, CO 80923 | 2014-10-13 |
| 1558664326 | Helen Sobeck | Nurse Practitioner | 6001 E. Woodmen Road, Nicu St. Frances Medical Center, Colorado Springs, CO 80923 | 2010-12-16 |
| 1679891832 | Tristan Poe Lindberg | Pediatrics | 6001 E Woodmen Road, Colorado Springs, CO 80923 | 2010-05-12 |
| 1194058933 | Tiffany Ann Nelson | Physician Assistant | 6001 E. Woodmen Rd., St. Francis Medical Center - Nicu, Colorado Springs, CO 80923 | 2009-09-11 |
| Find all providers in zip 80923 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294387 | Scott Holm Dmd Pllc | Clinic/Center | 685 Citadel Dr E Ste 200b, Colorado Springs, CO 80909-5315 | 2020-10-26 |
| 1568075489 | Open and Affordable Dental Cs North Pllc | Clinic/Center | 6375 Lehman Dr Ste 200, Colorado Springs, CO 80918-1427 | 2020-08-29 |
| 1093349706 | Cantua Dds, Pllc Dba Dental Nook | Clinic/Center | 13492 Bass Pro Dr Ste 110, Colorado Springs, CO 80921-3852 | 2020-03-03 |
| 1932753001 | Lucas Castillo PC | Clinic/Center | 3113 W Colorado Ave, Colorado Springs, CO 80904-2040 | 2019-07-28 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1124517826 | Kazemi Dental Pllc | Clinic/Center | 5010 El Camino Dr Ste A, Colorado Springs, CO 80918-2130 | 2018-05-08 |
| 1013410323 | Dental Holdings, P.C., Dba Mountain Shadows Family Dentistry | Clinic/Center | 1045 Garden of The Gods Rd Ste N, Colorado Springs, CO 80907-3436 | 2018-03-13 |
| 1689052961 | Lovell Ortrhodontics, PC | Clinic/Center | 5426 N Academy Blvd Ste 105, Colorado Springs, CO 80918-3686 | 2015-05-07 |
| 1144661273 | Michael W Beasley Dds PC | Clinic/Center | 6475 Wall St Ste 202, Colorado Springs, CO 80918-8341 | 2013-07-17 |
| 1497787535 | Peak Vista Community Health Centers | Clinic/Center | 2828 International Circle, Suite 100, Colorado Springs, CO 80910 | 2006-07-07 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80923 |
Please comment or provide details below to improve the information on FRONT RANGE PEDIATRIC DENTISTRY, PLLC.
| 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.