NPIMap

Organization Active NPI

Frisco Dental

  • Dentist
  • Frisco, CO
National Provider Identifier
1255742839
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00201862 Issued in CO
Legal business name
FRISCO DENTAL
Practice address
101 East Main Street, Suite108
Frisco, CO 80443
Phone
(970) 668-1029
Fax
(970) 668-1072
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Dr. Molly Smith, D.M.D., M.S.
Title
Dentist/Owner
Phone
(970) 668-1029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 00201862 CO Primary

Addresses

Primary practice location

101 East Main Street, Suite108
Frisco, CO 80443

Mailing address

PO Box 1919
Frisco, CO 80443-1919
Phone (970) 668-1029

Other identifiers 1

IdentifierTypeStateIssuer
99705567MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1255742839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1919",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804431919",
            "telephone_number": "970-668-1029",
            "fax_number": "970-668-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EAST MAIN STREET, SUITE108",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "80443",
            "telephone_number": "970-668-1029",
            "fax_number": "970-668-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRISCO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "970-668-1029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "00201862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99705567",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.