Organization Active NPI

Lee Goglione DDS

  • General Practice Dentistry
  • Grand Junction, CO
National Provider Identifier
1376695866
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6885 Issued in CO
Legal business name
LEE GOGLIONE DDS
Practice address
510 Patterson Rd
Grand Junction, CO 81506-1938
Phone
(970) 242-6753
Fax
(970) 243-5989
NPI assigned
Jan 17, 2007
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
Dr. Leenard Thomas Gaglione, DDS
Title
Dentist Owner
Phone
(970) 242-6753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6885 CO Primary

Addresses

Primary practice location

510 Patterson Rd
Grand Junction, CO 81506-1938

Mailing address

510 Patterson Rd
Grand Junction, CO 81506-1938
Phone (970) 242-6753

National Provider Directory

National Provider Directory

Locations

2642 Patterson Rd
Grand Junction, CO 81506
Phone (970) 242-6753

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376695866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 PATTERSON RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061938",
            "telephone_number": "970-242-6753",
            "fax_number": "970-243-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PATTERSON RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061938",
            "telephone_number": "970-242-6753",
            "fax_number": "970-243-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE GOGLIONE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAGLIONE",
        "authorized_official_first_name": "LEENARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "970-242-6753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, 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.