Centerrra Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8834 Issued in CO

Legal business name

CENTERRRA ORTHODONTICS

Practice address

2855 35TH Ave Unit a
Greeley, CO 80634-9474

Phone

(970) 330-5363

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Eugene Goings, DDS

Title

Vice-President

Phone

(720) 234-5566

Specialties & licenses 1

Addresses

Other names 1

• Skyview Orthodontics Doing business as

Tax ID family

Centerra Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Centerra Orthodontics

  • Dental Clinic/Center
  • Greeley, CO
  • NPI 1417281387
  NPD tax ID

Locations

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265639264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 PURPLE SAGE CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263043",
            "telephone_number": "720-234-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 35TH AVE UNIT A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349474",
            "telephone_number": "970-330-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERRRA ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOINGS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "720-234-5566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "8834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyview Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Centennial Neurology, PLLC
• Yesenia Centeno-Leon
• Center at Centerplace, LLC
• Center for Autism & Related Disorders, LLC
• Centerra Orthodontics
• Kristin Ann Ceriani, PT, DPT
• Certified Prosthetics & Orthotics, LLC
• Certified Prosthetics Orthotics, LLC
• Felix Moises Cervantes Rodriguez, MT
• Viviana Cervantes-Lopez

• Orthodontics and Dentofacial Orthopedics Dentistry in Greeley, CO
• Providers in Greeley, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.