Mountain Valley Kids Dental, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9691 Issued in CO

Legal business name

MOUNTAIN VALLEY KIDS DENTAL, PLLC

Practice address

105 Edwards Village Blvd., #D-202
PO Box 41
Edwards, CO 81632

Phone

(303) 883-1748

NPI assigned

Feb 7, 2018

Last updated

Feb 7, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

D. Michael ToblerNPI 1134382245

Title

Owner

Phone

(303) 883-1748

Specialties & licenses 3

Addresses

Practitioners 1

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.

• D. Michael Tobler, D.D.S.

  • Dentist
  • Montrose, CO
  • NPI 1134382245
  NPD (past) Authorized official

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1083113765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 805",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "81402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EDWARDS VILLAGE BLVD., #D-202",
            "address_2": "PO BOX 41",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "303-883-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VALLEY KIDS DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "TOBLER",
        "authorized_official_first_name": "D.",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-883-1748"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "9691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Dental Associates
• Mallory Michele Moller, M.S.
• Mountain Dermatology Specialists, PC
• Mountain Family Health Centers (Mountain Family Health Centers Edwards CMC Dental Site)
• Mountain Family Health Centers
• Movement Physical Therapy, LLC
• David H Naus
• Karen B Nern, MD
• Mandy M Newcomer, D.D.S
• Joshua Nichols

• Pediatric Dentistry in Edwards, CO
• Providers in Edwards, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.