Professional Dental Care of Central Co IV, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PROFESSIONAL DENTAL CARE OF CENTRAL CO IV, PLLC

Doing business as

Larkridge Family & Cosmetic Dentistry

Practice address

3200 Village Vista Dr
Erie, CO 80516-2595

Phone

(303) 962-6400

NPI assigned

Jun 18, 2021

Organization subpart

Yes

Parent organization

PROFESSIONAL DENTAL CARE PLLCAs reported in NPPES

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

Authorized official

Name

Cary Lacouture, DDS

Title

Clinical Director

Phone

(303) 841-0549

Specialties & licenses 1

Addresses

Other names 1

• Larkridge Family & Cosmetic Dentistry Doing business as

Part of

Professional Dental Care PLLC

Locations

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1477122018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10233 S PARKER RD STE 107",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349314",
            "telephone_number": "303-521-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 VILLAGE VISTA DR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805162595",
            "telephone_number": "303-962-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DENTAL CARE OF CENTRAL CO IV, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL DENTAL CARE PLLC",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "LACOUTURE",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "303-841-0549",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larkridge Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey S Powers, CNM
• William Prester
• Jennifer Prey
• Mikaela Price
• Myrah Prier
• Psychiatry Elevated PLLC
• Alison Queen
• April Anne Rabillard, LCSW
• Lindsay Ramsey, DPT
• Tiffany Rand, MS, CCC-SLP

• General Practice Dentistry in Erie, CO
• Providers in Erie, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.