NPIMap

Organization Active NPI

Colorado Dental Orthodontist Practice, PLLC

Doing business as Woodmen Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Falcon, CO
National Provider Identifier
1275116485
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
COLORADO DENTAL ORTHODONTIST PRACTICE, PLLC
Doing business as
Woodmen Orthodontics
Practice address
7685 McLaughlin Rd Ste 100
Falcon, CO 80831-4751
Phone
(719) 694-1929
NPI assigned
May 5, 2021
Last updated
May 5, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
COLORADO DENTAL ORTHODONTIST PRACTICE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Michelle Johnson
Title
Credentialing Specialist
Phone
(509) 315-8338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

7685 McLaughlin Rd Ste 100
Falcon, CO 80831-4751

Mailing address

7685 McLaughlin Rd Ste 100
Falcon, CO 80831-4751

Other names 1

  • Woodmen Orthodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address woodmen@peakdentalservices.com

National Provider Directory

National Provider Directory
Tax ID family
Colorado Dental Orthodontist Practice PLLC13 organizations share this tax ID, including this one
Part of
Colorado Dental Orthodontist Practice PLLC

Other organizations with this tax ID 12

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

Locations

7685 McLaughlin Rd
Ste 100
Falcon, CO 80831
Phone (719) 694-1929

Interoperability endpoints

  • Direct secure messaging: woodmen@peakdentalservices.com

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1275116485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7685 MCLAUGHLIN RD STE 100",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808314751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7685 MCLAUGHLIN RD STE 100",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808314751",
            "telephone_number": "719-694-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO DENTAL ORTHODONTIST PRACTICE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO DENTAL ORTHODONTIST PRACTICE, PLLC",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "509-315-8338"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "woodmen@peakdentalservices.com",
            "affiliation": "N",
            "address_1": "7685 McLaughlin Rd Ste 100",
            "city": "Falcon",
            "state": "CO",
            "country_code": "US",
            "postal_code": "808314751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Woodmen Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Falcon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.