Community Dental Clinic Inc.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

COMMUNITY DENTAL CLINIC INC.

Practice address

87 Merchant Dr
Montrose, CO 81401-3015

Phone

(970) 252-8896

NPI assigned

Apr 21, 2017

Organization subpart

No

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

Authorized official

Name

Melanie Hall

Title

Executive Director

Phone

(970) 252-8896

Specialties & licenses 1

Addresses

Other names 1

• The PIC Place Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria Valentina Baumann, MA

  • Mental Health Counselor
  • Montrose, CO
  • NPI 1114432820
  NPD (past)

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499990400000",
    "number": "1235664707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814020052",
            "telephone_number": "970-252-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MERCHANT DR",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013015",
            "telephone_number": "970-252-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DENTAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-07-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-252-8896"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The PIC Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colorado West Ophthalmology Assoc. PC
• Colorado West Otolaryngologists PC
• Columbine Dental Hygiene, PLLC
• Common Sense Counseling
• Common Sense Counseling
• Community Dental Clinic, Inc.
• Community Medical Group, LLC
• Community Options, Inc.
• Community Options, Inc.
• Community Options, Inc.

• Community Health Clinic/Center in Montrose, CO
• Providers in Montrose, CO by specialty
• Community Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; 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.