Dental Center of Steamboat Springs, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7859 Issued in CO

Legal business name

DENTAL CENTER OF STEAMBOAT SPRINGS, PLLC

Practice address

940 Central Park Dr
Suite 210
Steamboat Springs, CO 80487-8816

Phone

(970) 871-4611

Fax

(970) 879-4527

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Scott E. Eivins, D.D.S.

Title

Owner

Phone

(970) 871-4611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295956068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 CENTRAL PARK DR",
            "address_2": "SUITE 210",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878816",
            "telephone_number": "970-871-4611",
            "fax_number": "970-879-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CENTRAL PARK DR",
            "address_2": "SUITE 210",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878816",
            "telephone_number": "970-871-4611",
            "fax_number": "970-879-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CENTER OF STEAMBOAT SPRINGS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EIVINS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-871-4611",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.