Courtney Carr, D.D.S.

Individual provider Active NPI General Practice Dentistry · Rifle, CO

NPI 1386095271 · NPPES record last updated Aug 14, 2024

Key facts

NPI
1386095271
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
203493 (CO)
Practice address
1430 Railroad Ave Ste B
Rifle, CO 81650-3334
Phone
(970) 625-1696
Fax
(970) 972-9805
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
203493COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rifle Smiles PC Past
since Aug 1, 2024
Accepting new patients
Mountain Family Health Centers Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 203493 CO Yes

Addresses

Primary practice location

1430 Railroad Ave Ste B
Rifle, CO 81650-3334

Mailing address

1430 Railroad Ave Ste B
Rifle, CO 81650-3334
Phone (970) 625-1696

Other names

  • Dr. Courtney Schwind Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 14, 2024.

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1386095271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 RAILROAD AVE STE B",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816503334",
            "telephone_number": "970-625-1696",
            "fax_number": "970-972-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 RAILROAD AVE STE B",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816503334",
            "telephone_number": "970-625-1696",
            "fax_number": "970-972-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "203493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "SCHWIND",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rifle, CO

All providers in Rifle, CO · General Practice Dentistry in Colorado

Sources for this page

Verify at the official NPI Registry.