NPIMap

Organization Active NPI

Louisville Dental Prof. LLP

  • General Practice Dentistry
  • Louisville, CO
National Provider Identifier
1013256874
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10480 Issued in CO
Legal business name
LOUISVILLE DENTAL PROF. LLP
Practice address
994 W Dillon Rd Ste 400
Louisville, CO 80027-8404
Phone
(303) 673-5000
Fax
(303) 673-0505
NPI assigned
Feb 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Dr. Ryan Thomas Leary, DDSNPI 1669769030
Title
Partner
Phone
(303) 673-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 10480 CO Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 9872 CO
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 9487 CO
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 10069 CO

Addresses

Primary practice location

994 W Dillon Rd Ste 400
Louisville, CO 80027-8404

Mailing address

339 McCaslin Blvd
Unit B
Louisville, CO 80027-2914
Phone (303) 673-0500

Other names 1

  • Comfort Dental Louisville Doing business as

National Provider Directory

National Provider Directory

Locations

994 W Dillon Rd
Ste 400
Louisville, CO 80027
Phone (303) 673-0500

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1013256874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 MCCASLIN BLVD",
            "address_2": "UNIT B",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272914",
            "telephone_number": "303-673-0500",
            "fax_number": "303-673-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 W DILLON RD STE 400",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800278404",
            "telephone_number": "303-673-5000",
            "fax_number": "303-673-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE DENTAL PROF. LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "303-673-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10480",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9872",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9487",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Louisville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comfort Dental Louisville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.