Organization Active NPI

Crossroads Dental

  • Dental Clinic/Center
  • Longmont, CO
National Provider Identifier
1407167836
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7850 Issued in CO
Legal business name
CROSSROADS DENTAL
Practice address
1520 S. Hover St.
Ste E-F
Longmont, CO 80501
Phone
(970) 703-8556
NPI assigned
Jun 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Kira Hershman
Title
Office Manager
Phone
(303) 776-1480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7850 CO Primary

Addresses

Primary practice location

1520 S. Hover St.
Ste E-F
Longmont, CO 80501

Mailing address

1520 S. Hover St.
Ste E-F
Longmont, CO 80501
Phone (970) 703-8556

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2206309Crossroads Dental1520 S Hover St, #E-F, Longmont, CO 80501Certificate of waiverDec 17, 2026

National Provider Directory

National Provider Directory

Locations

1520 S Hover St
Ste Ef
Longmont, CO 80501
Phone (303) 776-1480

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": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1407167836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S. HOVER ST.",
            "address_2": "STE E-F",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80501",
            "telephone_number": "970-703-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S. HOVER ST.",
            "address_2": "STE E-F",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80501",
            "telephone_number": "970-703-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "HERSHMAN",
        "authorized_official_first_name": "KIRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-776-1480"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "7850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.