NPIMap

Organization Active NPI

Salida Family Dentistry LLC

  • Dentist
  • Salida, CO
National Provider Identifier
1366512667
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7810 Issued in CO
Legal business name
SALIDA FAMILY DENTISTRY LLC
Practice address
7600 W Hwy 50
Salida, CO 81201
Phone
(719) 539-2587
Fax
(719) 539-4169
NPI assigned
Nov 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lynn M Strong
Title
Office MGR
Phone
(719) 539-2587

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4375 CO
Dentist 122300000X 7810 CO Primary

Addresses

Primary practice location

7600 W Hwy 50
Salida, CO 81201

Mailing address

7600 W Hwy 50
Salida, CO 81201
Phone (719) 539-2587

Other identifiers 1

IdentifierTypeStateIssuer
50855271MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366512667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W HWY 50",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "81201",
            "telephone_number": "719-539-2587",
            "fax_number": "719-539-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W HWY 50",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "81201",
            "telephone_number": "719-539-2587",
            "fax_number": "719-539-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIDA FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "719-539-2587"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "4375",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "7810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50855271",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salida, CO

Sources for this page

  • 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.