NPIMap

Organization Active NPI

Comfort Dental Thompson Valley

  • Dentist
  • Loveland, CO
National Provider Identifier
1194320275
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
COMFORT DENTAL THOMPSON VALLEY
Practice address
1405 10TH St SW
Loveland, CO 80537-2301
Phone
(970) 962-9995
NPI assigned
Dec 4, 2020
Last updated
Dec 4, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COMFORT DENTAL THOMPSON VALLEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
John Paul Fillmore, DMDNPI 1790945483
Title
Dentist Owner
Phone
(970) 962-9995

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
Dentist 122300000X Primary

Addresses

Primary practice location

1405 10TH St SW
Loveland, CO 80537-2301

Mailing address

1405 10TH St SW
Loveland, CO 80537-2301
Phone (970) 962-9995

National Provider Directory

National Provider Directory
Tax ID family
Comfort Dental Thompson Valley2 organizations share this tax ID, including this one
Part of
Comfort Dental Thompson Valley

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1405 10th St SW
Loveland, CO 80537
Phone (970) 962-9995

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1194320275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 10TH ST SW",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805372301",
            "telephone_number": "970-962-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 10TH ST SW",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805372301",
            "telephone_number": "970-962-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT DENTAL THOMPSON VALLEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMFORT DENTAL THOMPSON VALLEY",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "FILLMORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "970-962-9995",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.