NPIMap

Organization Active NPI

TLC Dental Care PC

  • General Practice Dentistry
  • Pueblo, CO
National Provider Identifier
1144516592
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9998 Issued in CO
Legal business name
TLC DENTAL CARE PC
Practice address
2020 S Pueblo Blvd
Pueblo, CO 81005-2546
Phone
(719) 566-0206
Fax
(719) 561-1095
NPI assigned
Jun 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Tina L. Skinner, DDS
Title
Dentist
Phone
(719) 566-0206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9998 CO Primary

Addresses

Primary practice location

2020 S Pueblo Blvd
Pueblo, CO 81005-2546

Mailing address

2020 S Pueblo Blvd
Pueblo, CO 81005-2546
Phone (719) 566-0206

National Provider Directory

National Provider Directory
Tax ID family
Dr Tina L Skinner DDS Ms PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2020 S Pueblo Blvd
Pueblo, CO 81005
Phone (719) 566-0206

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1144516592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052546",
            "telephone_number": "719-566-0206",
            "fax_number": "719-561-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052546",
            "telephone_number": "719-566-0206",
            "fax_number": "719-561-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "719-566-0206",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.