Summit Family Dental of Cortez, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SUMMIT FAMILY DENTAL OF CORTEZ, PLLC

Practice address

111 S Sligo
Building a
Cortez, CO 81321

Phone

(505) 326-6800

Fax

(505) 326-6820

NPI assigned

Aug 11, 2014

Organization subpart

No

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

Authorized official

Name

Lisa Hodges

Title

Operations Director

Phone

(505) 787-2965

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1417366808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S SLIGO",
            "address_2": "BUILDING A",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "81321",
            "telephone_number": "505-326-6800",
            "fax_number": "505-326-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S SLIGO",
            "address_2": "BUILDING A",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "81321",
            "telephone_number": "505-326-6800",
            "fax_number": "505-326-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT FAMILY DENTAL OF CORTEZ, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "505-787-2965"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Jean Stevens, CRNP
• Anne C. Stevenson, SLP
• Sarah Sticha, LPCC
• Donald Scott Story
• Laurilyn Balfour Sturdevant, RDH
• Lawrence Alfred Svendsen, DC
• Abbas Syed, D.O.
• Bryce Tanner, OD
• Jeffrey David Tarpey, MD
• Moriah Louise Tarpey, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.