NPIMap

Organization Active NPI

Colorado Comfort Smiles Prof LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Centennial, CO
National Provider Identifier
1467082255
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
COLORADO COMFORT SMILES PROF LLC
Practice address
8223 S Quebec St Ste O
Centennial, CO 80112-3173
Phone
(303) 220-0550
Fax
(303) 220-0553
NPI assigned
Jan 21, 2020
Last updated
Jan 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Norma Grijalva
Title
Office Manager
Phone
(303) 220-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

8223 S Quebec St Ste O
Centennial, CO 80112-3173

Mailing address

8223 S Quebec St Ste O
Centennial, CO 80112-3173
Phone (303) 220-0550

Other practice location 1

10401 E Colfax Ave Ste 150
Aurora, CO 80010-2371
Phone (303) 341-2273

Other practice location 2

354 Blue River Parkway
Silverthorne, CO 80917
Phone (970) 262-2273

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address bracess@comfortdental.biz Direct
Direct Messaging Address bracescolfax@comfortdental.biz Direct
Direct Messaging Address bracess@comfortdental.biz Direct

National Provider Directory

National Provider Directory
Tax ID family
Colorado Comfort Smiles Prof LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1467082255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8223 S QUEBEC ST STE O",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123173",
            "telephone_number": "303-220-0550",
            "fax_number": "303-220-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8223 S QUEBEC ST STE O",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123173",
            "telephone_number": "303-220-0550",
            "fax_number": "303-220-0553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10401 E Colfax Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800102371",
            "country_code": "US",
            "telephone_number": "303-341-2273",
            "fax_number": "303-344-2286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Blue River Parkway",
            "address_purpose": "LOCATION",
            "city": "Silverthorne",
            "state": "CO",
            "postal_code": "80917",
            "country_code": "US",
            "telephone_number": "970-262-2273",
            "fax_number": "970-262-3866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLORADO COMFORT SMILES PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "GRIJALVA",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-220-0550"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bracess@comfortdental.biz",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8223 S Quebec St Ste O",
            "city": "Centennial",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801123173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bracescolfax@comfortdental.biz",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10401 E Colfax Ave Ste 150",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800102371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bracess@comfortdental.biz",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "354 Blue River Parkway",
            "city": "Silverthorne",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.