Organization Active NPI

High Desert Dental

  • Dental Clinic/Center
  • Grand Junction, CO
National Provider Identifier
1023624053
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HIGH DESERT DENTAL
Practice address
132 Walnut Ave
Grand Junction, CO 81501-7474
Phone
(970) 245-1758
NPI assigned
Sep 15, 2020
Last updated
Sep 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Joshua Eastham, DMDNPI 1083064398
Title
Owner/Dentist
Phone
(847) 400-4509

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

132 Walnut Ave
Grand Junction, CO 81501-7474

Mailing address

11760 Joyful Way
Montrose, CO 81401-9140
Phone (847) 400-4509

National Provider Directory

National Provider Directory

Locations

132 Walnut Ave
Grand Junction, CO 81501
Phone (970) 242-0288

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1023624053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 JOYFUL WAY",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814019140",
            "telephone_number": "847-400-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 WALNUT AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017474",
            "telephone_number": "970-245-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "EASTHAM",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "847-400-4509",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.