Mountain Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MOUNTAIN DENTAL PC

Doing business as

Mountain Dental

Practice address

9800 W 59TH PL
Arvada, CO 80004-5013

Phone

(715) 926-5050

Fax

(715) 926-4269

NPI assigned

Oct 30, 2008

Last updated

Oct 30, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

MOUNTAIN DENTAL INCAs reported in NPPES

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

Authorized official

Name

Ms. Lori Pelke

Title

Professional Services Coordinator

Phone

(715) 926-5050

Specialties & licenses 1

Addresses

Other names 1

• Mountain Dental Doing business as

Tax ID family

Mountain Dental2 organizations share this tax ID, including this one

Part of

Mountain Dental Inc

Other organizations with this tax ID 1

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

• Mountain Dental PC

  dba Mountain Dental

  • Dentist
  • Broomfield, CO
  • NPI 1922244193
  NPD tax ID

Locations

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1275786527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 W 59TH PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800045013",
            "telephone_number": "715-926-5050",
            "fax_number": "715-926-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 W 59TH PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800045013",
            "telephone_number": "715-926-5050",
            "fax_number": "715-926-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNTAIN DENTAL INC",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "PELKE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PROFESSIONAL SERVICES COORDINATOR",
        "authorized_official_telephone_number": "715-926-5050",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nori Ann Matsuda Morris, RPH
• Shane Morrison, DC
• Jeffrey Curtis Moser, DDS
• Jack Cameron Moss, D.D.S.
• Mount Tabor Counseling
• Mountain Oral & Maxillofacial Surgery
• Mountain States Hand and Physical Therapy, Inc
• Mountain Thrive Counseling PLLC
• Mountain Valley Mental Health, LLC
• Mountain View Medical Supply, Inc.

• General Practice Dentistry in Arvada, CO
• Providers in Arvada, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.