Twin Rivers Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9175 Issued in CO

Legal business name

TWIN RIVERS DENTAL

Practice address

1320 Fortino Blvd
Suite D
Pueblo, CO 81008-2081

Phone

(719) 545-5213

Fax

(719) 545-7076

NPI assigned

Nov 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Kottenstette, DDS

Title

Owner

Phone

(719) 545-5213

Specialties & licenses 1

Addresses

Other names 1

• J. Kottenstette DDS PC Other name

Locations

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353628800000",
    "number": "1376887729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 FORTINO BLVD",
            "address_2": "SUITE D",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082081",
            "telephone_number": "719-545-5213",
            "fax_number": "719-545-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 FORTINO BLVD",
            "address_2": "SUITE D",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082081",
            "telephone_number": "719-545-5213",
            "fax_number": "719-545-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN RIVERS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-23",
        "last_updated": "2012-11-23",
        "status": "A",
        "authorized_official_last_name": "KOTTENSTETTE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-545-5213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. Kottenstette DDS PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christy Rene Turner, LAC, LSW
• Inez Turner
• Mikayla Turner
• Patricia A Turner, FNP-C
• Xaviera Turner
• Mary Twinem, PSY.D., M.A.
• Slawomir Tycner, PMHNP
• Juan Ulibarri III, CAC II
• Lisa Noel Ulibarri
• Unity Care PLLC

• General Practice Dentistry in Pueblo, CO
• Providers in Pueblo, 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 Nov 23, 2012; 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.