NPIMap

Organization Active NPI

Aspen Dental Group

  • Dentist
  • Longmont, CO
National Provider Identifier
1477094563
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7130 Issued in CO
Legal business name
ASPEN DENTAL GROUP
Practice address
1720 Duchess Dr
Longmont, CO 80501-2032
Phone
(303) 772-6960
Fax
(303) 772-7215
NPI assigned
Mar 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Michelle Visger
Title
Office Manager
Phone
(303) 772-6960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7130 CO Primary

Addresses

Primary practice location

1720 Duchess Dr
Longmont, CO 80501-2032

Mailing address

1720 Duchess Dr
Longmont, CO 80501-2032
Phone (303) 772-6960

Other names 1

  • Trail Ridge Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1720 Duchess Dr
Longmont, CO 80501
Phone (303) 772-6960

Practitioners & affiliated clinicians

Practitioners 2

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": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1477094563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 DUCHESS DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012032",
            "telephone_number": "303-772-6960",
            "fax_number": "303-772-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 DUCHESS DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012032",
            "telephone_number": "303-772-6960",
            "fax_number": "303-772-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "VISGER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-772-6960"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "7130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trail Ridge Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.