Fort Morgan Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

00202511 Issued in CO

Legal business name

FORT MORGAN FAMILY DENTAL

Practice address

1101 W Platte Ave
Fort Morgan, CO 80701

Phone

(970) 427-5300

NPI assigned

Sep 23, 2016

Last updated

Sep 23, 2016By 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

Michael CollinsNPI 1932535598

Title

Member

Phone

(815) 252-0565

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Michael Collins, D.D.S.

  • Dentist
  • Fort Morgan, CO
  • NPI 1932535598
  NPD (past) Authorized official

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1407305188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W PLATTE AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "80701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W PLATTE AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "80701",
            "telephone_number": "970-427-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MORGAN FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "815-252-0565"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26730073",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Wayne Fisher, RD
• Rosita Flores
• Michael Foncannon, PHARMD, RPH
• Fort Mogan Dental LLC
• Fort Morgan Eye Care LLC
• Fort Morgan Medical Group, PC
• Fort Morgan Orthodontic Center
• Fort Morgan Pediatric Clinic
• Andrea R. Frank, DDS
• Angela Marie Frenier, DPT

• Dentist in Fort Morgan, CO
• Providers in Fort Morgan, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.