Organization Active NPI

North Pueblo Dental Partners

Doing business as Comfort Dental North Pueblo

  • Dental Clinic/Center
  • Pueblo, CO
National Provider Identifier
1457506586
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7394 Issued in CO
Legal business name
NORTH PUEBLO DENTAL PARTNERS
Doing business as
Comfort Dental North Pueblo
Practice address
1740 Eagleridge Blvd Unit 110
Pueblo, CO 81008-1988
Phone
(719) 542-2472
Fax
(719) 542-6435
NPI assigned
Nov 17, 2008
Last updated
Nov 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Jessika Garcia
Title
Office Manager
Phone
(719) 542-2472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7394 CO Primary

Addresses

Primary practice location

1740 Eagleridge Blvd Unit 110
Pueblo, CO 81008-1988

Mailing address

1740 Eagleridge Blvd Unit 110
Pueblo, CO 81008-1988
Phone (719) 542-2472

Other identifiers 1

IdentifierTypeStateIssuer
92728375MedicaidCO

Other names 1

  • Comfort Dental North Pueblo Doing business as

National Provider Directory

National Provider Directory

Locations

1740 Eagleridge Blvd
Unit 110
Pueblo, CO 81008
Phone (719) 542-2472

2025 W US Highway 50
Ste A100
Pueblo, CO 81008
Phone (719) 542-2472

Practitioners & affiliated clinicians

Practitioners 4

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": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1457506586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 EAGLERIDGE BLVD UNIT 110",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081988",
            "telephone_number": "719-542-2472",
            "fax_number": "719-542-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 EAGLERIDGE BLVD UNIT 110",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081988",
            "telephone_number": "719-542-2472",
            "fax_number": "719-542-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PUEBLO DENTAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JESSIKA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-542-2472"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "7394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92728375",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental North Pueblo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.