WINTER MOUNTAIN, LLC (NPI# 1497132294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497132294 |
Entity Type | Organization |
Organization Name | WINTER MOUNTAIN, LLC |
Other Organization Name | RICKS FAMILY DENTAL |
Practice Address |
21 Kings Crossing Road Suite #206 Winter Park CO 80482 |
Practice Telephone | 7164725745 |
Mailing Telephone | 7164725745 |
Enumeration Date | 2015-04-30 |
Last Update Date | 2015-04-30 |
Authorized Official Name | DR. JOSHUA WAYNE RICKS (OWNER/DENTIST) |
Authorized Official Telephone | 7164725745 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
00202483 | CO | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Ricks Family Dental | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | WINTER MOUNTAIN, LLC | 21 Kings Crossing Rd #206, Winter Park, CO 80482 |
Street Address |
21 KINGS CROSSING ROAD SUITE #206 |
City | WINTER PARK |
State | CO |
Zip Code | 80482 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174021547 | Oxygen To You | Durable Medical Equipment & Medical Supplies | 500 Trailhead Circle, #521, Winter Park, CO 80482 | 2018-01-31 |
1558716563 | Luna Counseling, LLC | Counselor | 79050 Us Highway 40, Winter Park, CO 80482 | 2016-04-27 |
1063804102 | Innovative Eye Care LLC | Ophthalmology | 21 Kings Crossing Rd, Ste 201, Winter Park, CO 80482 | 2015-02-26 |
1700285699 | Lauren Stokes | Counselor | 47 Cooper Creek Way, Suite 321a, Winter Park, CO 80482 | 2014-08-18 |
1538578398 | Colleen Davis-timms | Counselor | 79050 Us Hwy 40, Winter Park, CO 80482 | 2014-08-06 |
1548688666 | Catherine Connell Hankla | Family Medicine | 78878 Us Hwy 40, Winter Park, CO 80482 | 2014-04-04 |
1972947471 | Lucinda J Young | Dentist | 21 Kings Crossing Road #107, Winter Park, CO 80482 | 2013-04-26 |
1467762435 | Denver Health and Hospital Authority | Clinic/Center | 145 Parsenn Road, Winter Park, CO 80482 | 2010-10-08 |
1255486460 | Claire Silk | Dental Hygienist | 21 Kings Crossing Road, #206, Winter Park, CO 80482 | 2007-01-25 |
1184727125 | Hannah Marie Foley | Nurse Practitioner | 145 Parsenn Rd, Winter Park, CO 80482 | 2006-09-06 |
Find all providers in zip 80482 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588290837 | Winter Park Dentistry | Clinic/Center | 865 Balch Ave, Winter Park, FL 32789-4917 | 2020-03-19 |
1720607229 | R Mark Matar Dmd Pa | Clinic/Center | 731 W Morse Blvd, Winter Park, FL 32789-3794 | 2020-04-14 |
1821453846 | Central Florida Periodontics | Clinic/Center | 2295 Lee Rd, Winter Park, FL 32789-1889 | 2015-12-17 |
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 |
City | WINTER PARK |
Zip Code | 80482 |
Please comment or provide details below to improve the information on WINTER MOUNTAIN, LLC.
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.