Organization Active NPI

Mountainaire Dentistry

  • Clinic/Center
  • Broomfield, CO
National Provider Identifier
1437651387
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
10612 Issued in CO
Legal business name
MOUNTAINAIRE DENTISTRY
Practice address
291 E Flatiron Cir Unit D
Broomfield, CO 80021-8060
Phone
(303) 872-2400
Fax
(303) 872-2401
NPI assigned
Mar 7, 2018
Last updated
Mar 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Authorized official

Name
Jessica Martinez
Title
Financial Coordinator
Phone
(303) 872-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 10612 CO Primary

Addresses

Primary practice location

291 E Flatiron Cir Unit D
Broomfield, CO 80021-8060

Mailing address

291 E Flatiron Cir Unit D
Broomfield, CO 80021-8060
Phone (303) 872-2400

National Provider Directory

National Provider Directory

Locations

291 E Flatiron Cir
Unit D
Broomfield, CO 80021
Phone (303) 872-2400

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1437651387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 E FLATIRON CIR UNIT D",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218060",
            "telephone_number": "303-872-2400",
            "fax_number": "303-872-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 E FLATIRON CIR UNIT D",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218060",
            "telephone_number": "303-872-2400",
            "fax_number": "303-872-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINAIRE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "303-872-2400"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "10612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.