Dental Associates at Eagle's Nest

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3577 Issued in CO

Legal business name

DENTAL ASSOCIATES AT EAGLE'S NEST

Practice address

150 Morning Sun Dr
Ste. 200 West
Woodland Park, CO 80863-9160

Phone

(719) 687-2000

NPI assigned

May 26, 2009

Last updated

May 26, 2009By 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

Eric T Helland, D.D.S.

Title

President/Ceo

Phone

(719) 687-2000

Specialties & licenses 1

Addresses

Locations

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.

• Chad Joseph Carubia, DDS

  • General Practice Dentistry
  • Woodland Park, CO
  • NPI 1538442124
  NPD (past)

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1174758833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MORNING SUN DR",
            "address_2": "STE. 200 WEST",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808639160",
            "telephone_number": "719-687-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MORNING SUN DR",
            "address_2": "STE. 200 WEST",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808639160",
            "telephone_number": "719-687-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES AT EAGLE'S NEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "HELLAND",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "719-687-2000",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "3577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas W Cummings, OD
• Michael Patric Damelio, PHARMD
• Tiffiny C Davis, L.AC
• Daybreak-an Adult Day Program
• Brenda G. Demouchet, LPC
• Dental Associates of Woodland Park, LLC
• Jeremy Dewall, MD, NREMT-P
• Lisa K Diamond, NP
• Cory Lynn Dietz, MD
• Dillon Companies LLC (City Market Pharmacy)

• General Practice Dentistry in Woodland Park, CO
• Providers in Woodland Park, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.