Premier Rural Family Medical & Dental Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PREMIER RURAL FAMILY MEDICAL & DENTAL CARE, LLC

Practice address

1101 Teller County Road 1
Cripple Creek, CO 80813

Phone

(419) 508-7686

NPI assigned

Apr 19, 2018

Last updated

Apr 19, 2018By 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

William J Robers

Title

Attorney

Phone

(719) 634-5700

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1417444043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S WEBER ST STE 400",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031928",
            "telephone_number": "719-634-5700",
            "fax_number": "719-633-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TELLER COUNTY ROAD 1",
            "city": "CRIPPLE CREEK",
            "state": "CO",
            "postal_code": "80813",
            "telephone_number": "419-508-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER RURAL FAMILY MEDICAL & DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "ROBERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "719-634-5700"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert Paul Reid, M.D.
• Root Groove, PLLC (Gold Rush Dental)
• Jill Elaine Saylor, FNP-BC, NP-C
• Southern Teller County Health Services District (Cripple Creek Home Health Care)
• Southern Teller County Health Services District (Cripple Creek Care Center)

• Family Medicine Physician in Cripple Creek, CO
• Providers in Cripple Creek, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.