Colorado Mountain College

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COLORADO MOUNTAIN COLLEGE

Doing business as

Colorado Mountain College Oral Health Clinic

Practice address

150 Miller Ranch Rd
Edwards, CO 81632-6420

Phone

(970) 569-2950

NPI assigned

Nov 18, 2024

Last updated

Nov 18, 2024By 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

Rebecca Acosta

Title

Clinical & Administrative Coordinat

Phone

(970) 569-2950

Specialties & licenses 1

Addresses

Other names 1

• Colorado Mountain College Oral Health Clinic Doing business as

Locations

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1346065182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MILLER RANCH RD",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816326420",
            "telephone_number": "970-569-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MILLER RANCH RD",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816326420",
            "telephone_number": "970-569-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO MOUNTAIN COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CLINICAL & ADMINISTRATIVE COORDINAT",
        "authorized_official_telephone_number": "970-569-2950"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Mountain College Oral Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chris Thiagarajah MD Incorporated
• Karla Christensen, RN
• David James Cimino, PT
• Cle Physical Therapy, PLLC (Equilibrium Physical Therapy)
• Luke Cobb, DC
• Colorado Mountain Medical, LLC
• Colorado Mountain Medical, LLC
• Colorado Mountain Medical, LLC
• Colorado Mountain Medical, LLC
• Colorado Mountain Medical, LLC

• Dental Clinic/Center in Edwards, CO
• Providers in Edwards, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.