Canyon Point Implant & Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DEN.00009486 Issued in CO

Legal business name

CANYON POINT IMPLANT & ORAL SURGERY

Practice address

108 N Rubey Dr
Golden, CO 80403-2455

Phone

(303) 215-9944

Fax

(303) 215-9947

NPI assigned

Aug 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Paul C Madlock, M.D., D.M.D.NPI 1558491514

Title

Surgeon/Owner

Phone

(303) 215-9944

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Paul Charles Madlock, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Golden, CO
  • NPI 1558491514
  NPD (past) Authorized official
• Amy Lyn Shearer, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Golden, CO
  • NPI 1316116304
  NPD (past)

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1144775230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N RUBEY DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804032455",
            "telephone_number": "303-215-9944",
            "fax_number": "303-215-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N RUBEY DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804032455",
            "telephone_number": "303-215-9944",
            "fax_number": "303-215-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON POINT IMPLANT & ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "MADLOCK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SURGEON/OWNER",
        "authorized_official_telephone_number": "303-215-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "DEN.00009486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vittorrio Cancila
• Maria L. Cannarozzi, MD
• Ruth Cano, MD
• Denise Canonaco, MS CCC-SLP
• Kaye Cantwell, LCSW
• Canyon Point Orthodontics
• Theresa Cao, PHARMD
• Mario Carlo Capocelli, PA-C
• Steven J Caputo, M D
• Dina Caraballo, L.M.T.

• Oral and Maxillofacial Surgery (Dentist) in Golden, CO
• Providers in Golden, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.