Northern Colorado Endodontics PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

7256 Issued in CO

Legal business name

NORTHERN COLORADO ENDODONTICS PC

Practice address

730 Whalers Way
Suite 300
Ft Collins, CO 80525

Phone

(970) 229-1404

Fax

(970) 229-1422

NPI assigned

Jul 28, 2006

Last updated

Aug 8, 2007By 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

Bradley David Levalley, DDS MSNPI 1134248230

Title

President

Phone

(970) 229-1404

Specialties & licenses 2

Addresses

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Nce Greeley PLLC

  dba Northern Colorado Endodontics

  • Endodontics
  • Greeley, CO
  • NPI 1295265726
  NPPES parent name
• Northern Colorado Endodontics

  • Endodontics
  • Longmont, CO
  • NPI 1407205461
  NPPES parent name

Practitioners 3

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.

• Bradley David Levalley, D.D.S., M.S.

  • Endodontics
  • Fort Collins, CO
  • NPI 1134248230
  NPD (past) Authorized official
• Shane Daniel Bergo, D.D.S., M.S.D.

  • Endodontics
  • Fort Collins, CO
  • NPI 1023137122
  NPD (past)
• Kyle Thomas Lantz, DDS

  • Endodontics
  • Loveland, CO
  • NPI 1417443276
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1184638736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 S TIMBERLINE RD",
            "address_2": "SUITE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254333",
            "telephone_number": "970-229-1404",
            "fax_number": "970-229-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 WHALERS WAY",
            "address_2": "SUITE 300",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-229-1404",
            "fax_number": "970-229-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN COLORADO ENDODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "LEVALLEY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-229-1404",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "7382",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "7256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Colorado Birth Center LLC
• Northern Colorado Counseling PLLC
• Northern Colorado Counseling PLLC
• Northern Colorado Dental Specialty and Implant Center PLLC
• Northern Colorado Dialectical Behavior Therapy, LLC (Noco DBT LLC)
• Northern Colorado Geriatrics
• Northern Colorado Hand & Wrist Center PC
• Northern Colorado Hospitalists Professional LLC (Northern Colorado Hospitalists)
• Northern Colorado Hyperbaric Physicians, LLP
• Northern Colorado Living Solutions (Fox Meadows Assisted Living)

• Endodontics in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Endodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.