RYAN T ANDERSON DDC PC (NPI# 1952774465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952774465 |
| Entity Type | Organization |
| Organization Name | RYAN T ANDERSON DDC PC |
| Practice Address |
13 E 4th St. La Junta CO 81050 |
| Mailing Address |
13 E 4th St La Junta CO 81050-3601 |
| Practice Telephone | 7193849442 |
| Mailing Telephone | 7193849442 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2019-02-15 |
| Authorized Official Name | RYAN ANDERSON (GENERAL DENTIST) |
| Authorized Official Telephone | 7193849442 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
00202659 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02061620 | 05 |
| Street Address |
13 E 4TH ST. |
| City | LA JUNTA |
| State | CO |
| Zip Code | 81050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2315 San Juan Avenue, La Junta, CO 81050 | 2020-04-22 |
| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1164945127 | Susan Ann Workman | Clinical Nurse Specialist | 13 West Third Street, Room 111, La Junta, CO 81050 | 2017-07-21 |
| 1083086524 | Ryan Taylor Anderson | Dentist | 13 East 4th Street, La Junta, CO 81050 | 2015-10-23 |
| 1902287329 | Shanna Kay Riley | Case Manager/Care Coordinator | 711 Barnes Ave., La Junta, CO 81050 | 2015-06-11 |
| 1548668593 | Joseph Wayne Lee | Licensed Practical Nurse | 1203 Holt Ln, Lajunta, CO 81050 | 2014-12-08 |
| 1730506809 | Down To Earth Dentistry, LLC. | Dentist | 17 W. 4th St., La Junta, CO 81050 | 2014-03-26 |
| 1154668275 | Arkansas Valley Hearing Center, Inc | Hearing Aid Equipment | 408 West 3rd St, La Junta, CO 81050 | 2013-01-09 |
| 1710223698 | Timothy Eugene Kelley | Counselor | 313 West Third Street, Suite 204, La Junta, CO 81050 | 2012-12-20 |
| 1174817605 | Valley Community Counseling Services, LLC | Community/Behavioral Health | 313 W 3rd Street Lincoln Square Professional Building, Suite 204, La Junta, CO 81050 | 2011-06-01 |
| Find all providers in zip 81050 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902432479 | Pawel R Bielecki, Dds, PC | Clinic/Center | 317 W 3rd St, La Junta, CO 81050-1401 | 2020-03-17 |
| 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 | ||||
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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.