Matthew a Bunchman, DMD, Prof LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MATTHEW A BUNCHMAN, DMD, PROF LLC

Doing business as

Premier Dental of Evergreen

Practice address

29723 Troutdale Scenic Dr
Evergreen, CO 80439-7737

Phone

(303) 679-6400

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Matthew A Bunchman, DMDNPI 1811000417

Title

Ceo

Phone

(303) 679-6400

Specialties & licenses 1

Addresses

Other names 1

• Premier Dental of Evergreen Doing business as

Electronic endpoints 1

Locations

Practitioners 2

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

• Matthew Allyn Bunchman, DMD

  • General Practice Dentistry
  • Astoria, OR
  • NPI 1811000417
  NPD Authorized official
• Paula Young

  • Dentist
  • Evergreen, CO
  • NPI 1679962294
  NPD (past)

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1053030288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29723 TROUTDALE SCENIC DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397737",
            "telephone_number": "303-679-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29723 TROUTDALE SCENIC DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397737",
            "telephone_number": "303-679-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW A BUNCHMAN, DMD, PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "BUNCHMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-679-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.premierdentalofevergreen.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29723 Troutdale Scenic Dr",
            "city": "Evergreen",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804397737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Premier Dental of Evergreen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Shehan Markey, OTR
• Catherine Martin, RD
• Emily Martin
• Shannon Martin
• Sierra Mathos, IBCLC
• James Mault, M.D.
• John Ruff May, PT, DPT
• Kathleen Morrin May, NP
• Kristin Nicole Mazzarese, LPC
• Kathie Elizabeth McAlpine, M.D., MPH, MS

• Dental Clinic/Center in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.