Active NPI
Neil Ganz, D.D.S., P.C.
- General Practice Dentistry
- Steamboat Springs, CO
National Provider Identifier
1447276282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neil Ira Ganz, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19277202 | Medicaid | CO |
Other names 1
- Rabbit Ears Dental Office
National Provider Directory
National Provider DirectoryPractitioners & 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.