Organization Active NPI

Endodontics of the Rockies, LLC

  • Endodontics
  • Fort Collins, CO
National Provider Identifier
1164918611
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
00203511 Issued in CO
Legal business name
ENDODONTICS OF THE ROCKIES, LLC
Practice address
1903 Wilmington Dr Unit 101
Fort Collins, CO 80528-6100
Phone
(970) 568-5255
Fax
(970) 568-5256
NPI assigned
Jul 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Brandon Griffin, DDS, MBANPI 1801139324
Title
Dentist/Owner
Phone
(970) 568-5255

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 00203511 CO Primary

Addresses

Primary practice location

1903 Wilmington Dr Unit 101
Fort Collins, CO 80528-6100

Mailing address

1903 Wilmington Dr Unit 101
Fort Collins, CO 80528-6100
Phone (970) 568-5255

Other practice location 1

2996 Ginnala Dr Ste 101
Loveland, CO 80538-2832
Phone (970) 292-6703

National Provider Directory

National Provider Directory

Locations

2996 Ginnala Dr
Ste 101
Loveland, CO 80538
Phone (970) 292-6703

Practitioners & affiliated clinicians

Practitioners 1

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": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1164918611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 WILMINGTON DR UNIT 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286100",
            "telephone_number": "970-568-5255",
            "fax_number": "970-568-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 WILMINGTON DR UNIT 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286100",
            "telephone_number": "970-568-5255",
            "fax_number": "970-568-5256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2996 Ginnala Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805382832",
            "country_code": "US",
            "telephone_number": "970-292-6703",
            "fax_number": "970-292-6704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENDODONTICS OF THE ROCKIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "970-568-5255",
        "authorized_official_credential": "DDS, MBA"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "00203511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.