Organization Active NPI

Neil Ganz, D.D.S., P.C.

  • General Practice Dentistry
  • Steamboat Springs, CO
National Provider Identifier
1447276282
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NEIL GANZ, D.D.S., P.C.
Practice address
440 S Lincoln Ave
Sutie B10
Steamboat Springs, CO 80487-8916
Phone
(970) 879-5630
Fax
(970) 879-0703
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Authorized official

Name
Neil Ira Ganz, DDSNPI 1982623617
Title
President
Phone
(970) 879-5630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

440 S Lincoln Ave
Sutie B10
Steamboat Springs, CO 80487-8916

Mailing address

440 S Lincoln Ave
Suite B10
Steamboat Springs, CO 80487-8916
Phone (970) 879-5630

Other identifiers 1

IdentifierTypeStateIssuer
19277202MedicaidCO

Other names 1

  • Rabbit Ears Dental Office Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1447276282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 S LINCOLN AVE",
            "address_2": "SUITE B10",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878916",
            "telephone_number": "970-879-5630",
            "fax_number": "970-879-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S LINCOLN AVE",
            "address_2": "SUTIE B10",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878916",
            "telephone_number": "970-879-5630",
            "fax_number": "970-879-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL GANZ, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-879-5630",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19277202",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rabbit Ears Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.