Organization Active NPI

Rite of Passage Inc

  • General Practice Dentistry
  • Watkins, CO
National Provider Identifier
1235665472
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RITE OF PASSAGE INC
Practice address
28101 E Quincy Ave
Watkins, CO 80137-9502
Phone
(303) 766-3000
NPI assigned
May 9, 2017
Last updated
May 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Kristina Crandell
Title
Lead a/R Clerk
Phone
(775) 392-2657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

28101 E Quincy Ave
Watkins, CO 80137-9502

Mailing address

2560 Business Pkwy
Suite a
Minden, NV 89423-8985
Phone (775) 392-2657

Other names 1

  • Ridgeview Youth Service Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Rite of Passage Inc42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1235665472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 BUSINESS PKWY",
            "address_2": "SUITE A",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894238985",
            "telephone_number": "775-392-2657",
            "fax_number": "775-392-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28101 E QUINCY AVE",
            "city": "WATKINS",
            "state": "CO",
            "postal_code": "801379502",
            "telephone_number": "303-766-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE OF PASSAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "CRANDELL",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "LEAD A/R CLERK",
        "authorized_official_telephone_number": "775-392-2657"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeview Youth Service Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Watkins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.