Northern Colorado Tongue and Lip Tie Clinic LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

NORTHERN COLORADO TONGUE AND LIP TIE CLINIC LLC

Practice address

260 E Horsetooth Rd Ste 130
Fort Collins, CO 80525-3124

Phone

(970) 672-7525

NPI assigned

Aug 23, 2024

Last updated

Aug 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Guido, DDS MSNPI 1154522878

Title

President

Phone

(970) 672-7525

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Joseph Anthony Guido, D.D.S.

  • Pediatric Dentistry
  • Fort Collins, CO
  • NPI 1154522878
  NPD Authorized official

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1477386571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E HORSETOOTH RD STE 130",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253124",
            "telephone_number": "970-672-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E HORSETOOTH RD STE 130",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253124",
            "telephone_number": "970-672-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN COLORADO TONGUE AND LIP TIE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "GUIDO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-672-7525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.