NPIMap

Organization Active NPI

My Local Colorado Dental Practice, LLC

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1487126223
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MY LOCAL COLORADO DENTAL PRACTICE, LLC
Practice address
3715 Bloomington St Unit 160
Colorado Springs, CO 80922-3207
Phone
(719) 599-0665
NPI assigned
Dec 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Michelle Johnson
Title
Credentialing Specialist
Phone
(509) 315-8338

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3715 Bloomington St Unit 160
Colorado Springs, CO 80922-3207

Mailing address

6110 Barnes Rd
Colorado Springs, CO 80922-2600

Other practice location 1

3955 E 120th Ave Ste B
Thornton, CO 80233-2075
Phone (303) 255-4855

Other practice location 2

18121 E Hampden Ave Unit E
Aurora, CO 80013-3591
Phone (303) 317-5335

Other practice location 3

200 Quebec St Unit 105
Denver, CO 80230-7144
Phone (303) 364-6659

Other practice location 4

3095 S Parker Rd Ste 150
Aurora, CO 80014-2917
Phone (303) 755-8388

Other practice location 5

9385 S Colorado Blvd Unit 102
Highlands Ranch, CO 80126-5241
Phone (720) 439-2984

Other practice location 6

9227 E Lincoln Ave Ste 100
Lone Tree, CO 80124-5504
Phone (720) 943-2153

Other practice location 7

562 E Castle Pines Pkwy Ste C8
Castle Pines, CO 80108-4609
Phone (720) 457-1111

Other practice location 8

1800 Fortino Blvd
Pueblo, CO 81008-1890
Phone (719) 545-1400

Other practice location 9

6110 Barnes Rd
Colorado Springs, CO 80922-2600
Phone (719) 630-3366

Other practice location 10

5910 Stetson Hills Blvd Ste 110
Colorado Springs, CO 80923-3580
Phone (719) 694-0400

Other practice location 11

8085 Fountain Mesa Rd
Fountain, CO 80817-1591
Phone (719) 382-5500

Other practice location 12

6514 S Academy Blvd
Colorado Springs, CO 80906-8614
Phone (719) 494-0718

Other practice location 13

150 Morning Sun Dr Ste 200W
Woodland Park, CO 80863-9160
Phone (719) 484-8490

Other practice location 14

7685 McLaughlin Rd Ste 100
Falcon, CO 80831-4751
Phone (719) 694-1929

Other practice location 15

3236 Centennial Blvd
Colorado Springs, CO 80907-4077
Phone (719) 355-2700

Other practice location 16

6725 Rangewood Dr
Colorado Springs, CO 80918-7300
Phone (719) 596-6920

Other practice location 17

2721 W 120th Ave Ste 200
Westminster, CO 80234-2946
Phone (303) 586-6985

Other practice location 18

3541 E Harmony Rd Ste 130
Fort Collins, CO 80528-8816
Phone (970) 829-8209

Other practice location 19

1600 23rd Ave Ste 200
Greeley, CO 80634-6071
Phone (970) 353-4329

Other practice location 20

1691 Coalton Rd
Superior, CO 80027-4610
Phone (720) 304-3267

Other practice location 21

11078 Cimarron St Unit H
Firestone, CO 80504-6600
Phone (303) 485-6595

Other practice location 22

1160 W Ash St
Windsor, CO 80550-4666
Phone (970) 686-1186

Other practice location 23

3550 W 38th Ave # 5
Denver, CO 80211-1972
Phone (303) 515-7008

Other practice location 24

3617 S College Ave Unit B
Fort Collins, CO 80525-3009
Phone (970) 233-8933

Other practice location 25

4998 Tower Rd
Denver, CO 80249-6684
Phone (303) 317-5545

Other practice location 26

7505 E 35th Ave Unit 304
Denver, CO 80238-2460
Phone (303) 785-8991

Other practice location 27

5021 S Jellison Way Unit C
Littleton, CO 80123-7377
Phone (720) 608-5557

Other practice location 28

2800 E 136th Ave
Thornton, CO 80241-3417
Phone (720) 872-2892

Other practice location 29

10461 Park Meadows Dr Bldg 4
Lone Tree, CO 80124-5306
Phone (303) 534-2626

Other practice location 30

2695 Northpark Dr Ste 104
Lafayette, CO 80026-3177
Phone (720) 477-4908

Other practice location 31

8410 Wadsworth Blvd Unit G
Arvada, CO 80003-0918
Phone (720) 605-4302

Other practice location 32

1844 Pearl St
Boulder, CO 80302-5533
Phone (720) 465-4382

Other names 29

  • 38th Modern Dental Doing business as
  • Advantage Dental Group Doing business as
  • All Smiles Dental Group Doing business as
  • Apple Tree Dental Doing business as
  • Castle Pines Dental Group Doing business as
  • College Ave Modern Dental Doing business as
  • Colorado Dental Group Doing business as
  • Discovery Kids Doing business as
  • East Harmony Dental Doing business as
  • Flatirons Family Dental and Orthodontics Doing business as
  • Fountain Dental Center Doing business as
  • GVR Dental and Orthodontics Doing business as
  • Greeley Dental Health Doing business as
  • Hampden Dental Group Doing business as
  • Highlands Ranch Dental Group Doing business as
  • KIP Dental and Orthodontics Doing business as
  • Lone Tree Modern Dental Doing business as
  • Lowry Main Street Dental Doing business as
  • Metropolitan Dental Doing business as
  • Mountain Shadows Dental Doing business as
  • My Dentist Doing business as
  • Panorama Dental Doing business as
  • Sage Dental Care Doing business as
  • South Springs Dental Group Doing business as
  • Stapleton Modern Dental Doing business as
  • Stetson Hills Dental Doing business as
  • Windsor Family Dentistry Doing business as
  • Woodland Park Dental Group Doing business as
  • Woodmen Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
My Local Colorado Dental Practice LLC40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

View all 39

Locations

562 E Castle Pines Pkwy
Ste C8
Castle Pines, CO 80108
Phone (720) 457-1111

5910 Stetson Hills Blvd
Ste 110
Colorado Springs, CO 80923
Phone (307) 631-3364

1800 Fortino Blvd
Pueblo, CO 81008
Phone (719) 545-1400

1160 W Ash St
Windsor, CO 80550
Phone (970) 499-7879

Practitioners & affiliated clinicians

Practitioners 1

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": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1487126223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 BARNES RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 BLOOMINGTON ST UNIT 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809223207",
            "telephone_number": "719-599-0665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3955 E 120th Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802332075",
            "country_code": "US",
            "telephone_number": "303-255-4855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18121 E Hampden Ave Unit E",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800133591",
            "country_code": "US",
            "telephone_number": "303-317-5335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Quebec St Unit 105",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802307144",
            "country_code": "US",
            "telephone_number": "303-364-6659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3095 S Parker Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800142917",
            "country_code": "US",
            "telephone_number": "303-755-8388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9385 S Colorado Blvd Unit 102",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801265241",
            "country_code": "US",
            "telephone_number": "720-439-2984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9227 E Lincoln Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245504",
            "country_code": "US",
            "telephone_number": "720-943-2153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "562 E Castle Pines Pkwy Ste C8",
            "address_purpose": "LOCATION",
            "city": "Castle Pines",
            "state": "CO",
            "postal_code": "801084609",
            "country_code": "US",
            "telephone_number": "720-457-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Fortino Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810081890",
            "country_code": "US",
            "telephone_number": "719-545-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6110 Barnes Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809222600",
            "country_code": "US",
            "telephone_number": "719-630-3366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5910 Stetson Hills Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809233580",
            "country_code": "US",
            "telephone_number": "719-694-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8085 Fountain Mesa Rd",
            "address_purpose": "LOCATION",
            "city": "Fountain",
            "state": "CO",
            "postal_code": "808171591",
            "country_code": "US",
            "telephone_number": "719-382-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6514 S Academy Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809068614",
            "country_code": "US",
            "telephone_number": "719-494-0718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Morning Sun Dr Ste 200W",
            "address_purpose": "LOCATION",
            "city": "Woodland Park",
            "state": "CO",
            "postal_code": "808639160",
            "country_code": "US",
            "telephone_number": "719-484-8490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7685 McLaughlin Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Falcon",
            "state": "CO",
            "postal_code": "808314751",
            "country_code": "US",
            "telephone_number": "719-694-1929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3236 Centennial Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809074077",
            "country_code": "US",
            "telephone_number": "719-355-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6725 Rangewood Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809187300",
            "country_code": "US",
            "telephone_number": "719-596-6920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2721 W 120th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "802342946",
            "country_code": "US",
            "telephone_number": "303-586-6985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3541 E Harmony Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805288816",
            "country_code": "US",
            "telephone_number": "970-829-8209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 23rd Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806346071",
            "country_code": "US",
            "telephone_number": "970-353-4329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1691 Coalton Rd",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "CO",
            "postal_code": "800274610",
            "country_code": "US",
            "telephone_number": "720-304-3267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11078 Cimarron St Unit H",
            "address_purpose": "LOCATION",
            "city": "Firestone",
            "state": "CO",
            "postal_code": "805046600",
            "country_code": "US",
            "telephone_number": "303-485-6595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1160 W Ash St",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CO",
            "postal_code": "805504666",
            "country_code": "US",
            "telephone_number": "970-686-1186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3550 W 38th Ave # 5",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802111972",
            "country_code": "US",
            "telephone_number": "303-515-7008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3617 S College Ave Unit B",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805253009",
            "country_code": "US",
            "telephone_number": "970-233-8933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4998 Tower Rd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802496684",
            "country_code": "US",
            "telephone_number": "303-317-5545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7505 E 35th Ave Unit 304",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802382460",
            "country_code": "US",
            "telephone_number": "303-785-8991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5021 S Jellison Way Unit C",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801237377",
            "country_code": "US",
            "telephone_number": "720-608-5557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 E 136th Ave",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802413417",
            "country_code": "US",
            "telephone_number": "720-872-2892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10461 Park Meadows Dr Bldg 4",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245306",
            "country_code": "US",
            "telephone_number": "303-534-2626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2695 Northpark Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800263177",
            "country_code": "US",
            "telephone_number": "720-477-4908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8410 Wadsworth Blvd Unit G",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800030918",
            "country_code": "US",
            "telephone_number": "720-605-4302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1844 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803025533",
            "country_code": "US",
            "telephone_number": "720-465-4382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY LOCAL COLORADO DENTAL PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "509-315-8338"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "38th Modern Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advantage Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "All Smiles Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apple Tree Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Castle Pines Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "College Ave Modern Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colorado Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Discovery Kids",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Harmony Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flatirons Family Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fountain Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GVR Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greeley Dental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hampden Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highlands Ranch Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KIP Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KIP Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lone Tree Modern Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lowry Main Street Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metropolitan Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Shadows Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Dentist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Panorama Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sage Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Springs Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stapleton Modern Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stetson Hills Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Windsor Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodland Park Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodmen Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.