NPIMap

Organization Active NPI

NYU Lutheran

  • Dental Clinic/Center
  • Grand Junction, CO
National Provider Identifier
1053779454
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NYU LUTHERAN
Practice address
2333 N 6TH St
Grand Junction, CO 81501-2001
Phone
(970) 255-1782
NPI assigned
Feb 1, 2016
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Anna D'Emilio
Title
Vice President Aegd Program
Phone
(718) 630-7184

Specialties & licenses 1

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

Addresses

Primary practice location

2333 N 6TH St
Grand Junction, CO 81501-2001

Mailing address

1030 Teller Ave Apt 56
Grand Junction, CO 81501-3254
Phone (304) 419-5231

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Med Ctr-Eeg12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1053779454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 TELLER AVE APT 56",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013254",
            "telephone_number": "304-419-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 N 6TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012001",
            "telephone_number": "970-255-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYU LUTHERAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "D'EMILIO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "VICE PRESIDENT AEGD PROGRAM",
        "authorized_official_telephone_number": "718-630-7184"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ZZ",
            "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 7, 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.