Northern Colorado Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

7382 Issued in CO

Legal business name

NORTHERN COLORADO ENDODONTICS

Practice address

630 15TH Ave
Suite 301
Longmont, CO 80501-2700

Phone

(720) 494-9363

Fax

(720) 494-9364

NPI assigned

Jun 9, 2016

Organization subpart

Yes

Parent organization

NORTHERN COLORADO ENDODONTICSAs reported in NPPES

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

Authorized official

Name

Bradley Levalley, D.D.S., M.S.

Title

President

Phone

(970) 229-1404

Specialties & licenses 1

Addresses

Part of

Northern Colorado Endodontics PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Northern Colorado Endodontics PC

  • Endodontics
  • Ft Collins, CO
  • NPI 1184638736
  NPPES parent name

Practitioners 1

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

• Kyle Thomas Lantz, DDS

  • Endodontics
  • Loveland, CO
  • NPI 1417443276
  NPD (past)

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1407205461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 15TH AVE",
            "address_2": "SUITE 301",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012700",
            "telephone_number": "720-494-9363",
            "fax_number": "720-494-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 15TH AVE",
            "address_2": "SUITE 301",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012700",
            "telephone_number": "720-494-9363",
            "fax_number": "720-494-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN COLORADO ENDODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN COLORADO ENDODONTICS",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "LEVALLEY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-229-1404",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "7382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Megan Norr, LPCC
• Angela Norris
• Margaret P Norris, PH.D.
• North Colorado Clinic of Chiropractic, PC
• North Denver Anesthesia Associates, LLC
• Northern Colorado Speech & Language Therapy, Inc
• Daniel H Norton, PA
• Robert Vincent Nouhan, MD
• Allison Rita Novak, MS, LPC
• Natalie Novelli

• Endodontics in Longmont, CO
• Providers in Longmont, CO by specialty
• Endodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.