Perfect Teeth - Pace P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PERFECT TEETH - PACE P.C.

Practice address

1631 Pace St
Unite # B-3
Longmont, CO 80501-3054

Phone

(303) 684-6524

Fax

(303) 684-9295

NPI assigned

Mar 20, 2008

Organization subpart

No

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

Authorized official

Name

Laurie K. Summers

Title

Credentialing

Phone

(303) 285-6098

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Micaela Rodas, DMD

  • Dentist
  • Longmont, CO
  • NPI 1881332724
  NPD (past)
• Joshua Werner

  • Dentist
  • Longmont, CO
  • NPI 1336887215
  NPD (past)

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1487825147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 PACE ST",
            "address_2": "UNITE # B-3",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013054",
            "telephone_number": "303-684-6524",
            "fax_number": "303-684-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 PACE ST",
            "address_2": "UNITE # B-3",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013054",
            "telephone_number": "303-684-6524",
            "fax_number": "303-684-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT TEETH - PACE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "303-285-6098"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Pereira
• Angel N/a Perez, RBT
• Gina Lee Perez, BSW
• Jitka Perez
• Perfect Teeth - Longmont P.C.
• Performance Sportsphysio, LLC
• Jeffrey D. Perkins, MD
• Tyler J Perkins, D.C.
• Danelle Perricelli, PHARM.D.
• Morgan Pertzborn, MA, LPCC

• General Practice Dentistry in Longmont, CO
• Providers in Longmont, 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 Mar 20, 2008; 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.