SPRING CREEK DENTAL PLLC (NPI# 1780011221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780011221 |
Entity Type | Organization |
Organization Name | SPRING CREEK DENTAL PLLC |
Practice Address |
2001 South Shields Street Bldg. C-1 Fort Collins CO 80526 |
Mailing Address |
2001 S Shields St Bldg C1 Fort Collins CO 80526-1827 |
Practice Telephone | 9704828883 |
Practice Fax Number | 9704849278 |
Mailing Telephone | 9704828883 |
Mailing Fax Number | 9704849278 |
Enumeration Date | 2013-09-30 |
Last Update Date | 2014-12-16 |
Authorized Official Name | DR. JOEL ROBERT KAINES (DENTIST/OWNER) |
Authorized Official Telephone | 9704828883 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | Y |
Parent Organization Name | SCHAEFER & KAINES FAMILY DENTISTRY, PLLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Spring Creek Dental PLLC | 2001 S Shields St Ste C1, Fort Collins, CO 80526-1830 |
Street Address |
2001 SOUTH SHIELDS STREET BLDG. C-1 |
City | FORT COLLINS |
State | CO |
Zip Code | 80526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
Find all providers in zip 80526 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386252773 | Aaron Robert Welch | Dentist | 356 E Harmony Rd Unit 6a, Fort Collins, CO 80525-5960 | 2020-07-21 |
1376197046 | My Local Colorado Dental Practice, LLC | Dentist | 3541 E Harmony Rd Ste 130, Fort Collins, CO 80528-8816 | 2019-07-30 |
1306405212 | Ashley May Zimm | Dentist | 3838 S Timberline Rd, Fort Collins, CO 80525-3415 | 2019-06-13 |
1578049839 | Scott Mcnairy Dds Pllc | Dentist | 1136 E Stuart St Ste 3140, Fort Collins, CO 80525-1196 | 2018-07-19 |
1386172799 | Seth Lundberg Cowden | Dentist | 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 | 2017-05-30 |
1356722748 | Modern Dental Professionals Co PC | Dentist | 3531 S College Ave Unit 110, Fort Collins, CO 80525-2642 | 2015-06-11 |
1689092835 | Perfect Teeth - North College P.C. | Dentist | 1856 N. College Avenue, Ste 110, Fort Collins, CO 80524 | 2014-04-04 |
1558622027 | Robert E Gartland | Dentist | 202 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2012-05-31 |
1619259124 | Brenna Behrens | Dentist | 1102 E Lincoln Ave Unit B, Fort Collins, CO 80524-2521 | 2011-09-12 |
1013224062 | Fort Collins Modern Dentistry, LLP | Dentist | 2203 South College Avenue, Suite 100, Fort Collins, CO 80525 | 2010-09-10 |
Find all providers in FORT COLLINS |
City | FORT COLLINS |
Zip Code | 80526 |
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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.