Organization Active NPI

Durango Dental Partners Prof LLP

  • General Practice Dentistry
  • Durango, CO
National Provider Identifier
1376019273
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DURANGO DENTAL PARTNERS PROF LLP
Practice address
1125 S Camino del Rio Ste 300C
Durango, CO 81303-6886
Phone
(970) 259-4324
NPI assigned
Oct 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Todd Crandall
Title
Owner
Phone
(970) 259-4324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1125 S Camino del Rio Ste 300C
Durango, CO 81303-6886

Mailing address

1125 S Camino del Rio Ste 300C
Durango, CO 81303-6886

National Provider Directory

National Provider Directory

Locations

1125 S Camino del Rio
Ste 300C
Durango, CO 81303
Phone (970) 259-4324

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1376019273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S CAMINO DEL RIO STE 300C",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S CAMINO DEL RIO STE 300C",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036886",
            "telephone_number": "970-259-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURANGO DENTAL PARTNERS PROF LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-259-4324"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.