Organization Active NPI

Longmont Dental Care

  • Dental Clinic/Center
  • Longmont, CO
National Provider Identifier
1154076800
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LONGMONT DENTAL CARE
Practice address
640 Terry St
Longmont, CO 80501-4936
Phone
(303) 776-0633
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Authorized official

Name
Dr. Parker Lee Falkenberg, DMDNPI 1023684503
Title
General Dentist/Owner
Phone
(303) 776-0633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

640 Terry St
Longmont, CO 80501-4936

Mailing address

640 Terry St
Longmont, CO 80501-4936
Phone (303) 776-0633

National Provider Directory

National Provider Directory

Locations

640 Terry St
Longmont, CO 80501
Phone (303) 776-0633

Practitioners & affiliated clinicians

Practitioners 2

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": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1154076800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 TERRY ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014936",
            "telephone_number": "303-776-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 TERRY ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014936",
            "telephone_number": "303-776-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGMONT DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "FALKENBERG",
        "authorized_official_first_name": "PARKER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "GENERAL DENTIST/OWNER",
        "authorized_official_telephone_number": "303-776-0633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.