DR. CARISSA MOLINA (NPI# 1609219757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609219757 |
| Entity Type | Individual |
| Full Name | DR. CARISSA MOLINA |
| Credential | D.D.S. |
| Practice Address |
242 Cambridge St Brush CO 80723-1608 |
| Mailing Address |
255 N Washington St Unit 118 Denver CO 80203-4279 |
| Practice Telephone | 9703873787 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
7140-15 | WI | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DEN.00203913 | CO | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3522 W Lisbon Ave, Milwaukee, WI 532081953 | 4149358000 |
| Street Address |
242 CAMBRIDGE ST |
| City | BRUSH |
| State | CO |
| Zip Code | 80723-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740242494 | Morgan County Dental Care PC | Dentist | 242 Cambridge St, Brush, CO 80723 | 2006-04-06 |
| 1861946832 | Colorado Dentistry for Children LLC | Dentist | 242 Cambridge St, Brush, CO 80723-1608 | 2016-08-08 |
| 1598170532 | Landon Heckman | Dentist | 242 Cambridge St, Brush, CO 80723 | 2014-06-28 |
| 1275734584 | Monty Carl Kingsley | Dentist | 242 Cambridge St, Suite 2, Brush, CO 80723-1608 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366543639 | Therese A Gonzales | Dental Hygienist | 412 Edison, Brush, CO 80723 | 2006-09-26 |
| 1821056375 | Suzanne R Becker | Social Worker | 518 Curtis St, Brush, CO 80723 | 2006-05-03 |
| 1841310737 | Ssc Brush Sunset Manor Operating Company LLC | Respite Care | 2200 Edison St, Brush, CO 80723-1609 | 2007-04-02 |
| 1548819147 | Juhee Yi | Speech-Language Pathologist | 2200 Edison St, Brush, CO 80723-1609 | 2019-09-05 |
| 1194374009 | Lodina Marlene Weingardt | Physical Therapy Assistant | 2200 Edison St, Brush, CO 80723-1609 | 2019-09-04 |
| 1811553183 | Savannah Rose Dederick | Occupational Therapist | 2200 Edison St, Brush, CO 80723-1609 | 2019-05-13 |
| 1104482496 | Peggy Hill-dooley | Occupational Therapist | 2200 Edison St, Brush, CO 80723-1609 | 2019-05-13 |
| 1417461849 | Jackie Nelson | Speech-Language Pathologist | 2200 Edison St, Brush, CO 80723-1609 | 2017-11-21 |
| 1710414107 | Lauren Hoelscher | Physical Therapist | 2200 Edison St, Brush, CO 80723-1609 | 2017-05-16 |
| 1407309305 | Carrie Webb | Physical Therapy Assistant | 2200 Edison St, Brush, CO 80723-1609 | 2016-07-27 |
| Find all providers in zip 80723 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861946832 | Colorado Dentistry for Children LLC | Dentist | 242 Cambridge St, Brush, CO 80723-1608 | 2016-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181103 | Stettler Kr Broadmoor Pllc | Dentist | 4515 Broadmoor Bluffs Dr, Colorado Springs, CO 80906-8647 | 2020-07-09 |
| 1043842453 | Highlands Pediatric Dentistry | Dentist | 3141 Irving St Unit 200, Denver, CO 80211-3654 | 2020-02-04 |
| 1174163711 | J Patrick Bowman Dmd Pllc | Dentist | 1280 S Pearl St, Denver, CO 80210-1538 | 2020-01-12 |
| 1487211124 | Rebecca Goldberg, Dds, Pllc | Dentist | 2975 Roslyn St Unit 160, Denver, CO 80238-3326 | 2019-05-28 |
| 1427521509 | Kids Mile High Thornton Pllc | Dentist | 7375 E. 128th Ave, Thornton, CO 80602 | 2019-01-10 |
| 1578060299 | Julia Rose Wiegand | Dentist | 2352 Meadows Blvd Ste 200, Castle Rock, CO 80109-8408 | 2018-04-09 |
| 1215432141 | Dan Duy Hoang | Dentist | 660 Southpointe Ct Ste 100, Colorado Springs, CO 80906-3806 | 2018-03-23 |
| 1053851485 | Allison Threlkeld Davis | Dentist | 404 E Mineral Ave Ste A, Littleton, CO 80122-2611 | 2017-03-04 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1942673512 | A. P. Smithwick D.d.s. IIi Professional LLC | Dentist | 125 Inverness Dr E Ste 300, Englewood, CO 80112-5139 | 2015-11-04 |
| 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.