Active NPI
Northern Colorado Endodontics
- Endodontics
- Longmont, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 7382
- 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
- Last updated
- Jun 9, 2016
- Organization subpart
- Yes
- Parent organization
- NORTHERN COLORADO ENDODONTICS
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 7382 | CO | Primary |
Addresses
Primary practice location
630 15TH Ave
Suite 301
Longmont, CO 80501-2700
Mailing address
630 15TH Ave
Suite 301
Longmont, CO 80501-2700
Phone (720) 494-9363
National Provider Directory
National Provider Directory- Part of
- Northern Colorado Endodontics PC
Ownership & related parties
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.
-
- Endodontics
- Fort Collins, CO
- NPI 1184638736
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Endodontics
- Fort Collins, CO
- NPI 1134248230
-
- Endodontics
- Loveland, CO
- NPI 1417443276
NPI Registry JSON
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": []
}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 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.