Dental Specialists of Fort Collins

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL SPECIALISTS OF FORT COLLINS

Practice address

3950 John F Kennedy Pkwy Unit E
Fort Collins, CO 80525-3074

Phone

(970) 673-7900

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Ron Bergloff

Title

Business Partner

Phone

(720) 431-6060

Specialties & licenses 2

Addresses

Other names 1

• Parker Dental Implant and Specialty Center Former legal business name

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1235960394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 S PARKER RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347441",
            "telephone_number": "720-522-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 JOHN F KENNEDY PKWY UNIT E",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253074",
            "telephone_number": "970-673-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALISTS OF FORT COLLINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-11",
        "status": "A",
        "authorized_official_last_name": "BERGLOFF",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "BUSINESS PARTNER",
        "authorized_official_telephone_number": "720-431-6060"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parker Dental Implant and Specialty Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Debra Dennis, PA-C
• Kale Lee Dennis, LAC
• Keri Dennison
• Tara Dennison
• Dental Sleep Therapy of Fort Collins LLC
• Denver Family Therapy Center Inc
• Dallas Deogburn, IOMT
• Christine Deogracias, LCSW
• Daniella Marie Deperi, PA-C
• Abigail Depperschmidt, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.