My Local Colorado Dental Practice, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MY LOCAL COLORADO DENTAL PRACTICE, LLC

Practice address

2721 W 120TH Ave Ste 200
Westminster, CO 80234-2946

Phone

(303) 586-6985

Fax

(719) 213-2311

NPI assigned

Dec 5, 2018

Organization subpart

No

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

Authorized official

Name

Michelle Johnson

Title

Credentialing Specialist

Phone

(509) 315-8338

Specialties & licenses 1

Addresses

Tax ID family

38TH Modern Dental2 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.

• My Local Colorado Dental Practice, LLC

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1669824314
  NPD tax ID

Locations

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1366912180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 BARNES RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 W 120TH AVE STE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342946",
            "telephone_number": "303-586-6985",
            "fax_number": "719-213-2311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3955 E 120th Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802332075",
            "country_code": "US",
            "telephone_number": "303-255-4855",
            "fax_number": "719-213-2311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3541 E Harmony Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805288816",
            "country_code": "US",
            "telephone_number": "970-829-8209",
            "fax_number": "719-213-2311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY LOCAL COLORADO DENTAL PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "509-315-8338"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Morgan Musgrave, DO
• Ann V. Mushinsky-Tralles, MD
• Muslim Youth for Positive Impact
• John Musselmann, RBT
• Mustard Seed Wellness, PC
• My Local Colorado Dental Practice, LLC
• My Local Colorado Dental Practice, LLC
• My Speech Therapist LLC
• Kimberly Sue Myers, MD
• Ron D Myhra, D.C.

• Dental Clinic/Center in Westminster, CO
• Providers in Westminster, 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 Dec 5, 2018; 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.