Organization Active NPI

Just for Grins LLC

  • General Practice Dentistry
  • Peyton, CO
National Provider Identifier
1073359733
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JUST FOR GRINS LLC
Practice address
11876 Stapleton Dr
Peyton, CO 80831-8438
Phone
(719) 375-0690
NPI assigned
Jul 2, 2024
Last updated
Sep 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
JUST FOR GRINS DENTAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Melissa Pamela Talbott
Title
Owner/Doctor
Phone
(719) 375-0690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11876 Stapleton Dr
Peyton, CO 80831-8438

Mailing address

11876 Stapleton Dr
Peyton, CO 80831-8438
Phone (719) 375-0690

Other names 1

  • Melissa Talbott Other name

National Provider Directory

National Provider Directory
Tax ID family
Just for Grins LLC3 organizations share this tax ID, including this one
Part of
Just for Grins LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11876 Stapleton Dr
Peyton, CO 80831
Phone (719) 375-0690

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1073359733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11876 STAPLETON DR",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808318438",
            "telephone_number": "719-375-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11876 STAPLETON DR",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808318438",
            "telephone_number": "719-375-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST FOR GRINS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JUST FOR GRINS DENTAL LLC",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "TALBOTT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "719-375-0690"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa Talbott",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Peyton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.