Loren Sites DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

9979 Issued in CO

Legal business name

LOREN SITES DDS PLLC

Doing business as

Pueblo Dental Center

Practice address

4104 Outlook Blvd
Suite 138
Pueblo, CO 81008-1670

Phone

(719) 543-2271

Fax

(719) 543-0972

NPI assigned

Apr 23, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Loren Sites, DDS

Title

Owner

Phone

(719) 543-2271

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pueblo Dental Center Doing business as

Locations

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1417377938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 OUTLOOK BLVD",
            "address_2": "SUITE 138",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081670",
            "telephone_number": "719-543-2271",
            "fax_number": "719-543-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 OUTLOOK BLVD",
            "address_2": "SUITE 138",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081670",
            "telephone_number": "719-543-2271",
            "fax_number": "719-543-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOREN SITES DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "SITES",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-543-2271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "9979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85301035",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pueblo Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurence Lopez, M.D.
• Richard Anthony Lopez, MS, LAC, CAS
• Sadie A Lopez, LCSW, CACIII
• Andrew A Loptien, CRNA
• Lorax Inc.
• Eric Lorensen
• Nichole Lorenz
• Benita Lotrich
• Christopher Y C Louie, M.D.
• Louis C Cabiling MD PC

• Dental Clinic/Center in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Dental Clinic/Center in Colorado

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