Organization Active NPI

Admire Dental of Pueblo LLC

  • Dental Clinic/Center
  • Pueblo, CO
National Provider Identifier
1316828759
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ADMIRE DENTAL OF PUEBLO LLC
Practice address
1044 Eagleridge Blvd
Pueblo, CO 81008-2130
Phone
(719) 696-6696
NPI assigned
Sep 11, 2025
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Maggie McClain
Title
Transitions and Operations Manager
Phone
(860) 269-0628

Specialties & licenses 1

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

Addresses

Primary practice location

1044 Eagleridge Blvd
Pueblo, CO 81008-2130

Mailing address

360 Queen St Ste 205
Southington, CT 06489-1883
Phone (719) 696-6696

National Provider Directory

National Provider Directory

Locations

1044 Eagleridge Blvd
Pueblo, CO 81008
Phone (719) 542-1212

NPI Registry JSON

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1316828759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 QUEEN ST STE 205",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891883",
            "telephone_number": "719-696-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 EAGLERIDGE BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082130",
            "telephone_number": "719-696-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMIRE DENTAL OF PUEBLO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "TRANSITIONS AND OPERATIONS MANAGER",
        "authorized_official_telephone_number": "860-269-0628"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.