STAR DENTAL INSTITUTE INC (NPI# 1881255107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881255107 |
| Entity Type | Organization |
| Organization Name | STAR DENTAL INSTITUTE INC |
| Practice Address |
2620 Tenderfoot Hill St Ste 210 Colorado Springs CO 80906-8356 |
| Practice Telephone | 7195977979 |
| Mailing Telephone | 7195977979 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2020-04-07 |
| Authorized Official Name | DR. GARY MOORE (DENTIST) |
| Authorized Official Telephone | 7195977979 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 S 21st St Unit 120, Colorado Springs, CO 809043763 | 7193875612 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Star Dental Institute Inc | 2620 Tenderfoot Hill Street, Suite 210, Colorado Springs, CO 80906 |
| Street Address |
2620 TENDERFOOT HILL ST STE 210 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-8356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376522979 | Gary N Moore | Dentist | 2620 Tenderfoot Hill St Ste 210, Colorado Springs, CO 80906 | 2006-01-11 |
| 1710400494 | Rachel Cabugao Espinoza | Dentist | 2620 Tenderfoot Hill St Ste 210, Colorado Springs, CO 80906-8356 | 2017-07-25 |
| 1710432885 | Wade Murray Elton | Dentist | 2620 Tenderfoot Hill St Ste 210, Colorado Springs, CO 80906-8356 | 2016-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| 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 | 80906 |
Please comment or provide details below to improve the information on STAR DENTAL INSTITUTE INC.
| 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.