Organization Active NPI

Joseph J. Widdison, DMD, PC

Doing business as LakeView Dental Center

  • Dental Clinic/Center
  • Loveland, CO
National Provider Identifier
1154657294
Registry record updated Oct 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
9379 Issued in CO
Legal business name
JOSEPH J. WIDDISON, DMD, PC
Doing business as
LakeView Dental Center
Practice address
2502 Abarr Dr
Loveland, CO 80538-3156
Phone
(970) 669-1444
NPI assigned
Oct 24, 2009
Last updated
Oct 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2009

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

Authorized official

Name
Diane Lea Smith
Title
Regional Director
Phone
(720) 371-2309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 9379 CO Primary

Addresses

Primary practice location

2502 Abarr Dr
Loveland, CO 80538-3156

Mailing address

2502 Abarr Dr
Loveland, CO 80538-3156
Phone (970) 669-1444

Other names 1

  • LakeView Dental Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1256342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256342400000",
    "number": "1154657294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 ABARR DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383156",
            "telephone_number": "970-669-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 ABARR DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383156",
            "telephone_number": "970-669-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J. WIDDISON, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-24",
        "last_updated": "2009-10-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "720-371-2309"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "9379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LakeView Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2009; 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.