COLORADO WEST ORAL & MAXILLOFACIAL SURGERY (NPI# 1588824437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588824437 |
| Entity Type | Organization |
| Organization Name | COLORADO WEST ORAL & MAXILLOFACIAL SURGERY |
| Practice Address |
2530 N 8th St Ste 103 Grand Junction CO 81501-8856 |
| Practice Telephone | 9702452222 |
| Practice Fax Number | 9702434438 |
| Mailing Telephone | 9702452222 |
| Mailing Fax Number | 9702434438 |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | DR. STEPHEN S. KELLY (OWNER) |
| Authorized Official Telephone | 9702452222 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 104240 | CO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04014940 | 05 |
| Street Address |
2530 N 8TH ST STE 103 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-8856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306229893 | Daniel Cameron Reece | Dentist | 2530 N 8th St Ste 103, Grand Junction, CO 81501-8856 | 2015-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281727 | Nichole Romero | Specialist | 1000 N 9th St Ste 41, Grand Junction, CO 81501-3153 | 2020-09-23 |
| 1043858442 | Grand Valley Orthopedics | Specialist | 2373 G Rd Ste 130, Grand Junction, CO 81505-1003 | 2019-12-16 |
| 1912563347 | Community Medical Group | Specialist | 2532 Patterson Rd Ste 9&10, Grand Junction, CO 81505-3604 | 2019-05-10 |
| 1982007175 | Integrity Hearing Center | Specialist | 2139 N 12th St Ste 9, Grand Junction, CO 81501-2910 | 2014-10-01 |
| 1639466600 | Robert Joe Dewinter | Specialist | 10920 59th St, Grand Junction, MI 49056-9552 | 2011-06-29 |
| 1831428549 | Suzanne Mcconnell | Specialist | 652 N Terrace Dr, Grand Junction, CO 81507-9743 | 2009-12-09 |
| 1497954606 | Neurological Associates of Western Colorado | Specialist | 2530 N 8th St Ste 206, Grand Junction, CO 81501 | 2007-07-17 |
| 1225252653 | Terrill J King-hamm | Specialist | 652 Terrace Dr, Grand Junction, CO 81503-8723 | 2007-04-13 |
| 1790809549 | Colorado Surgical Affiliates, LLC | Specialist | 2373 G Rd Ste 200, Grand Junction, CO 81505-1006 | 2007-03-19 |
| 1215088851 | Kirby K Bowles | Specialist | 1000 N 9th St, Suite #35, Grand Junction, CO 81501-3155 | 2007-01-12 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
Please comment or provide details below to improve the information on COLORADO WEST ORAL & MAXILLOFACIAL SURGERY.
| 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.