Phase 3 LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DEN.00202673 Issued in CO

Legal business name

PHASE 3 LLC

Doing business as

Phase 3 Dental

Practice address

940 MC Intyre St Apt B
Golden, CO 80401-3914

Phone

(570) 690-1718

NPI assigned

Jan 23, 2018

Last updated

Jan 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Goeringer, DMDNPI 1225407208

Title

Dentist/ Owner

Phone

(570) 690-1718

Specialties & licenses 1

Addresses

Other names 1

• Phase 3 Dental Doing business as

Practitioners 1

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.

• Brian Goeringer, DMD BS

  • Dentist
  • Golden, CO
  • NPI 1225407208
  NPD Authorized official

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1164920377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 MC INTYRE ST APT B",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013914",
            "telephone_number": "570-690-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 MC INTYRE ST APT B",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013914",
            "telephone_number": "570-690-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE 3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "GOERINGER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "570-690-1718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "DEN.00202673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phase 3 Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paige Taylor Peterson, CCC-SLP
• Cynthia K Petrinovic, OTR, CHT
• Jennifer Petro, OTR/L
• Melissa Pfahl, MSN, FNP-C
• Kaitlin Pfister-Minogue
• John Phillips, DPT
• Lee Phillips, OTD, OTR/L
• Phyllis P Phillips, MMT, CHT
• Physician Anesthesia Services PC
• Physio Pro, Inc. (Evolution Physical Therapy)

• Dental Clinic/Center in Golden, CO
• Providers in Golden, CO by specialty
• Dental Clinic/Center in Colorado

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