Active NPI
Be-Co-Me LLC
Doing business as Ault Family Dentistry
- General Practice Dentistry
- Ault, CO
National Provider Identifier
1003111618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN9157
- Legal business name
- BE-CO-ME LLC
- Doing business as
- Ault Family Dentistry
- Practice address
- 120 North 2ND Avenue
Ault, CO 80610 - Phone
- (970) 834-2058
- NPI assigned
- Jan 13, 2011
- Last updated
- Jan 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bradley William Eckhardt, DDS
- Title
- Owner
- Phone
- (970) 834-2058
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN9157 | CO | Primary |
Addresses
Primary practice location
120 North 2ND Avenue
Ault, CO 80610
Mailing address
PO Box 1038
Ault, CO 80610-1038
Phone (970) 834-2058
Other names 1
- Ault Family Dentistry
National Provider Directory
National Provider Directory- Tax ID family
- Ault Family Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294876800000",
"number": "1003111618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1038",
"city": "AULT",
"state": "CO",
"postal_code": "806101038",
"telephone_number": "970-834-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 NORTH 2ND AVENUE",
"city": "AULT",
"state": "CO",
"postal_code": "80610",
"telephone_number": "970-834-2058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BE-CO-ME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-13",
"last_updated": "2011-01-13",
"status": "A",
"authorized_official_last_name": "ECKHARDT",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-834-2058",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "DEN9157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ault Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ault, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.