Longs Peak Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9762 Issued in CO

Legal business name

LONGS PEAK DENTAL

Practice address

8196 Weld County Road 13
Firestone, CO 80504

Phone

(303) 833-5660

Fax

(303) 833-5661

NPI assigned

Oct 22, 2010

Last updated

Oct 22, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dawne Adams, DDS

Title

Owner

Phone

(303) 833-5660

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1013217157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8196 WELD COUNTY ROAD 13",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "80504",
            "telephone_number": "303-833-5660",
            "fax_number": "303-833-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8196 WELD COUNTY ROAD 13",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "80504",
            "telephone_number": "303-833-5660",
            "fax_number": "303-833-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGS PEAK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "DAWNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-833-5660",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1578725222",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daisy Elizabeth Lear, L.AC.
• Tyler Lederhos, DC
• Anthony Ryan Lere, DDS
• Ashley Lerwick
• Little Peaks Pediatric Therapy LLC
• Allison Luellen, PA-C
• Lumos Counseling and Education Center
• Erin Mallon
• Cara Maloney, DMD
• Kristen L. Mangione, PA-C

• General Practice Dentistry in Firestone, CO
• Providers in Firestone, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.