Prairie Vista Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

106313 Issued in CO

Legal business name

PRAIRIE VISTA FAMILY DENTAL

Practice address

235 W Fletcher St
Haxtun, CO 80731-2737

Phone

(303) 335-8160

NPI assigned

Jan 24, 2014

Last updated

Jan 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pasco W Scarpella, D.D.S.

Title

President

Phone

(303) 335-8160

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1407279607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W FLETCHER ST",
            "city": "HAXTUN",
            "state": "CO",
            "postal_code": "807312737",
            "telephone_number": "303-335-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W FLETCHER ST",
            "city": "HAXTUN",
            "state": "CO",
            "postal_code": "807312737",
            "telephone_number": "303-335-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE VISTA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "SCARPELLA",
        "authorized_official_first_name": "PASCO",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-335-8160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "106313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Haxtun, CO
• Providers in Haxtun, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.