NPIMap

Organization Active NPI

Lake City Dental Clinic

  • General Practice Dentistry
  • Lake City, CO
National Provider Identifier
1326280553
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAKE CITY DENTAL CLINIC
Practice address
700 North Henson St
Lake City, CO 81235-0999
Phone
(970) 944-2331
Fax
(970) 944-2320
NPI assigned
Apr 2, 2009
Last updated
Sep 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Mrs. Melanie J Barton
Title
Office Manager
Phone
(970) 944-2331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

700 North Henson St
Lake City, CO 81235-0999

Mailing address

700 North Henson St
PO Box 999
Lake City, CO 81235-0999
Phone (970) 944-2331

National Provider Directory

National Provider Directory
Tax ID family
Lake Fork Health Serv Dist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1326280553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NORTH HENSON ST",
            "address_2": "PO BOX 999",
            "city": "LAKE CITY",
            "state": "CO",
            "postal_code": "812350999",
            "telephone_number": "970-944-2331",
            "fax_number": "970-944-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NORTH HENSON ST",
            "city": "LAKE CITY",
            "state": "CO",
            "postal_code": "812350999",
            "telephone_number": "970-944-2331",
            "fax_number": "970-944-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CITY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-944-2331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.