NPIMap

Organization Active NPI

Silverthorne Dental Partners Prof LLP

  • General Practice Dentistry
  • Silverthorne, CO
National Provider Identifier
1104086198
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7493 Issued in CO
Legal business name
SILVERTHORNE DENTAL PARTNERS PROF LLP
Practice address
354 Blue River Parkway
Silverthorne, CO 80498-1548
Phone
(970) 262-2273
Fax
(970) 262-3866
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Lorraine Mundy, DDS
Title
Partner Owner Doctor
Phone
(970) 262-2273

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 7493 CO Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6187 CO

Addresses

Primary practice location

354 Blue River Parkway
Silverthorne, CO 80498-1548

Mailing address

PO Box 1548
354 Blue River Parkway
Silverthorne, CO 80498-1548
Phone (970) 262-2273

Other identifiers 2

IdentifierTypeStateIssuer
02061877MedicaidCO
02074938MedicaidCO

Other names 1

  • Comfort Dental Summit County Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1104086198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1548",
            "address_2": "354 BLUE RIVER PARKWAY",
            "city": "SILVERTHORNE",
            "state": "CO",
            "postal_code": "804981548",
            "telephone_number": "970-262-2273",
            "fax_number": "970-262-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 BLUE RIVER PARKWAY",
            "city": "SILVERTHORNE",
            "state": "CO",
            "postal_code": "804981548",
            "telephone_number": "970-262-2273",
            "fax_number": "970-262-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERTHORNE DENTAL PARTNERS PROF LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "MUNDY",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "PARTNER OWNER DOCTOR",
        "authorized_official_telephone_number": "970-262-2273",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7493",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6187",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02061877",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02074938",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Summit County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silverthorne, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.