NPIMap

Organization Active NPI

Carbondale Family Dental

  • General Practice Dentistry
  • Carbondale, CO
National Provider Identifier
1265577498
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CARBONDALE FAMILY DENTAL
Practice address
889 Main CT
Carbondale, CO 81623-1851
Phone
(970) 963-1616
NPI assigned
Feb 21, 2007
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Dr. Andrew Nardecchia, DDSNPI 1396807160
Title
Owner
Phone
(970) 963-1616

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

889 Main CT
Carbondale, CO 81623-1851

Mailing address

889 Main CT
Carbondale, CO 81623-1851
Phone (970) 963-1616

National Provider Directory

National Provider Directory

Locations

889 Main Ct
Carbondale, CO 81623
Phone (970) 963-1616

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1265577498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 MAIN CT",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231851",
            "telephone_number": "970-963-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 MAIN CT",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231851",
            "telephone_number": "970-963-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBONDALE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "NARDECCHIA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-963-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.