Organization Active NPI

Choice Dental Care, LLC

  • Dental Clinic/Center
  • Fort Collins, CO
National Provider Identifier
1083932479
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
100950 Issued in CO
Legal business name
CHOICE DENTAL CARE, LLC
Practice address
1040 E Elizabeth St
Fort Collins, CO 80524-3951
Phone
(970) 224-4093
Fax
(970) 224-9246
NPI assigned
May 10, 2010
Last updated
May 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Thomas Harvey, D.D.S.NPI 1073537841
Title
Member
Phone
(970) 224-4093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 100950 CO Primary

Addresses

Primary practice location

1040 E Elizabeth St
Fort Collins, CO 80524-3951

Mailing address

1040 E Elizabeth St
Fort Collins, CO 80524-3951
Phone (970) 224-4093

National Provider Directory

National Provider Directory

Locations

1040 E Elizabeth St
Fort Collins, CO 80524
Phone (970) 224-4093

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1083932479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 E ELIZABETH ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243951",
            "telephone_number": "970-224-4093",
            "fax_number": "970-224-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 E ELIZABETH ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243951",
            "telephone_number": "970-224-4093",
            "fax_number": "970-224-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "970-224-4093",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "100950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.