NPIMap

Organization Active NPI

Telluride Dental P.C.

  • General Practice Dentistry
  • Telluride, CO
National Provider Identifier
1306087622
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3000 Issued in CO
Legal business name
TELLURIDE DENTAL P.C.
Practice address
126 West Colorado Ave.
Suite 203
Telluride, CO 81435
Phone
(970) 728-4336
Fax
(970) 369-4386
NPI assigned
Mar 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Dr. Ryan P. Grady, D.D.S.NPI 1093942443
Title
Dentist
Phone
(970) 728-4336

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3000 CO Primary

Addresses

Primary practice location

126 West Colorado Ave.
Suite 203
Telluride, CO 81435

Mailing address

PO Box 3644
Telluride, CO 81435-3644
Phone (970) 728-4336

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1306087622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3644",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814353644",
            "telephone_number": "970-728-4336",
            "fax_number": "970-369-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 WEST COLORADO AVE.",
            "address_2": "SUITE 203",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "81435",
            "telephone_number": "970-728-4336",
            "fax_number": "970-369-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELLURIDE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "970-728-4336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "3000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Telluride, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.