Organization Active NPI

Perfect Teeth / Centerra P.C.

  • General Practice Dentistry
  • Loveland, CO
National Provider Identifier
1376989343
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6097 Issued in CO
Legal business name
PERFECT TEETH / CENTERRA P.C.
Practice address
1685 Rocky Mountain Ave
Ste 400
Loveland, CO 80538-8705
Phone
(970) 667-2121
Fax
(970) 667-2323
NPI assigned
May 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Ms. Laurie K. Arbuckle
Title
Credentialing Specialist
Phone
(303) 285-6098

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6097 CO Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 10541 CO

Addresses

Primary practice location

1685 Rocky Mountain Ave
Ste 400
Loveland, CO 80538-8705

Mailing address

1685 Rocky Mountain Ave
Ste 400
Loveland, CO 80538-8705
Phone (970) 667-2121

National Provider Directory

National Provider Directory

Locations

1685 Rocky Mountain Ave
Ste 400
Loveland, CO 80538
Phone (970) 667-2121

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": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1376989343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 ROCKY MOUNTAIN AVE",
            "address_2": "STE 400",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388705",
            "telephone_number": "970-667-2121",
            "fax_number": "970-667-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 ROCKY MOUNTAIN AVE",
            "address_2": "STE 400",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388705",
            "telephone_number": "970-667-2121",
            "fax_number": "970-667-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT TEETH / CENTERRA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "ARBUCKLE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "303-285-6098",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6097",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "10541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.