NPIMap

Organization Active NPI

Colorado Health Network, Inc

Doing business as Howard Dental Center

  • Clinic/Center
  • Denver, CO
National Provider Identifier
1316353485
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COLORADO HEALTH NETWORK, INC
Doing business as
Howard Dental Center
Practice address
6260 E Colfax Ave
Denver, CO 80220-1515
Phone
(303) 863-0772
Fax
(303) 832-7823
NPI assigned
Jul 9, 2014
Last updated
Mar 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Lili Carrillo, MHL
Title
Chief Clinical Officer
Phone
(303) 962-5317

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

6260 E Colfax Ave
Denver, CO 80220-1515

Mailing address

6260 E Colfax Ave
Denver, CO 80220-1515
Phone (303) 837-0166

Other identifiers 2

IdentifierTypeStateIssuer
93637357MedicaidCO
04016572OtherCOPROVIDER NUMBER

Other names 1

  • Howard Dental Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231121001693 CO Part B Supplier - Clinic/Group Practice 1254789803 Receives reassigned benefits from 9 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory
Tax ID family
Colorado Health Network Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

6260 E Colfax Ave
Denver, CO 80220
Phone (303) 837-0166

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1316353485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201515",
            "telephone_number": "303-837-0166",
            "fax_number": "303-962-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201515",
            "telephone_number": "303-863-0772",
            "fax_number": "303-832-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO HEALTH NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "LILI",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "303-962-5317",
        "authorized_official_credential": "MHL"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93637357",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "04016572",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Howard Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.