Alpine DT Fort Collins LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ALPINE DT FORT COLLINS LLC

Doing business as

Alpine Dental Health

Practice address

950 S Taft Hill Rd
Fort Collins, CO 80521-3230

Phone

(970) 484-5297

NPI assigned

Aug 4, 2022

Last updated

Aug 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mesa Roth, DDSNPI 1043411994

Title

Partner

Phone

(970) 484-5297

Specialties & licenses 2

Addresses

Other names 1

• Alpine Dental Health Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

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.

• Mesa Roth, DDS

  • Dentist
  • Greeley, CO
  • NPI 1043411994
  NPD Authorized official
• Todd Rosenzweig, D.D.S.

  • Periodontics
  • Fort Collins, CO
  • NPI 1972647220
  NPD (past)

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1326775800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S TAFT HILL RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805213230",
            "telephone_number": "970-484-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S TAFT HILL RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805213230",
            "telephone_number": "970-484-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE DT FORT COLLINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "MESA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "970-484-5297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Dental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.