Longmont Restorative Dentistry PLLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

LONGMONT RESTORATIVE DENTISTRY PLLC

Practice address

1325 Hover St Ste 101a
Longmont, CO 80501-3137

Phone

(303) 325-6043

NPI assigned

Jun 27, 2023

Organization subpart

No

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

Authorized official

Name

Sonia Menindez

Title

Regional Operations Director

Phone

(303) 659-1825

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1437835014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 HOVER ST STE 101A",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013137",
            "telephone_number": "303-325-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 HOVER ST STE 101A",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013137",
            "telephone_number": "303-325-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGMONT RESTORATIVE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "MENINDEZ",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "REGIONAL OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "303-659-1825"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Longmont Surgery Center, LLC
• Longmont TC, LLC

• All providers in Longmont, CO
• Prosthodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.