NPIMap

Organization Active NPI

Alpine West Fort Collins LLC

  • General Practice Dentistry
  • Fort Collins, CO
National Provider Identifier
1255706115
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8319 Issued in CO
Legal business name
ALPINE WEST FORT COLLINS LLC
Practice address
1015 S Taft Hill Rd
Fort Collins, CO 80521-4240
Phone
(970) 482-6034
NPI assigned
Dec 3, 2015
Organization subpart
Yes
Parent organization
ALPINE DENTAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Michael McDillNPI 1720086762
Title
Memeber
Phone
(970) 484-5297

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8319 CO Primary

Addresses

Primary practice location

1015 S Taft Hill Rd
Fort Collins, CO 80521-4240

Mailing address

718 S College Ave
Fort Collins, CO 80524-3301

National Provider Directory

National Provider Directory

Locations

718 S College Ave
Fort Collins, CO 80524
Phone (970) 224-4093

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1255706115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 S COLLEGE AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S TAFT HILL RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805214240",
            "telephone_number": "970-482-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE WEST FORT COLLINS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPINE DENTAL HEALTH",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "MCDILL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMEBER",
        "authorized_official_telephone_number": "970-484-5297"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.