Active NPI
D Malcolm Strange DDS PC
- Pediatric Dentistry
- Greeley, CO
National Provider Identifier
1174701155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0651
- Legal business name
- D MALCOLM STRANGE DDS PC
- Practice address
- 2003 46TH Ave
Greeley, CO 80634-3250 - Phone
- (970) 330-4600
- Fax
- (970) 330-4612
- NPI assigned
- Feb 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Malcolm Strange, DDS, MSD
- Title
- President
- Phone
- (303) 467-8888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0651 | CO | Primary |
Addresses
Primary practice location
2003 46TH Ave
Greeley, CO 80634-3250
Mailing address
8550 W 38TH Ave
Wheat Ridge, CO 80033-4300
Phone (303) 467-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12025747 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- D Malcolm Strange DDS PC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Evergreen, CO
- NPI 1922121631
-
- Pediatric Dentistry
- Wheatridge, CO
- NPI 1114145323
-
- Pediatric Dentistry
- Frisco, CO
- NPI 1801919063
-
- Pediatric Dentistry
- Wheat Ridge, CO
- NPI 1164815841
Locations
2003 46th Ave
Greeley, CO 80634
Phone (970) 330-4600
8550 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 940-1770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213315200000",
"number": "1174701155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8550 W 38TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334300",
"telephone_number": "303-467-8888",
"fax_number": "303-467-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 46TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806343250",
"telephone_number": "970-330-4600",
"fax_number": "970-330-4612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D MALCOLM STRANGE DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-01",
"last_updated": "2008-06-13",
"status": "A",
"authorized_official_last_name": "STRANGE",
"authorized_official_first_name": "MALCOLM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-467-8888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MSD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "CO",
"license": "0651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12025747",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.