Organization Active NPI

Toothzone, L.L.C

  • Pediatric Dentistry
  • Fort Collins, CO
National Provider Identifier
1487700126
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TOOTHZONE, L.L.C
Practice address
1220 Oak Park Dr
Fort Collins, CO 80525-7302
Phone
(970) 223-8687
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Barbara Ashley
Title
Operations Manager
Phone
(970) 223-8687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1220 Oak Park Dr
Fort Collins, CO 80525-7302

Mailing address

3636 Arrowhead Rd
Laporte, CO 80535-9319
Phone (970) 493-3799

Other identifiers 1

IdentifierTypeStateIssuer
04019725MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1487700126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 ARROWHEAD RD",
            "city": "LAPORTE",
            "state": "CO",
            "postal_code": "805359319",
            "telephone_number": "970-493-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 OAK PARK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257302",
            "telephone_number": "970-223-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTHZONE, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "970-223-8687"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04019725",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.