Mountain Range Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105341 Issued in CO

Legal business name

MOUNTAIN RANGE DENTISTRY

Practice address

1005 W 120TH Ave
Suite 800
Westminster, CO 80234-2714

Phone

(303) 452-2221

Fax

(303) 450-9954

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Paul K Mizoue, D.D.S.

Title

Owner

Phone

(303) 452-2221

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346393956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W 120TH AVE",
            "address_2": "SUITE 800",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342714",
            "telephone_number": "303-452-2221",
            "fax_number": "303-450-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W 120TH AVE",
            "address_2": "SUITE 800",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342714",
            "telephone_number": "303-452-2221",
            "fax_number": "303-450-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN RANGE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIZOUE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-452-2221",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "105341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mosaic Infusion Solutions LLC
• Michelle Marie Moser-Dreher
• Marina Moskalenko, MD
• Elizabeth Moslander
• Grace Moua, RBT
• Mountain States Pathology
• Mountain States Physicians LLP
• Mountain View Family Dental Westminster PLLC
• Mountain West Dialysis Services LLC (North Metro Dialysis Center)
• Mountainside Family Chiropractic PC

• General Practice Dentistry in Westminster, CO
• Providers in Westminster, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.