Active NPI
Toothzone, L.L.C
- Pediatric Dentistry
- Fort Collins, CO
National Provider Identifier
1487700126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04019725 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI 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.