NPIMap

Organization Active NPI

Longmont Dental Partners, LLC.

  • Dentist
  • Longmont, CO
National Provider Identifier
1508273269
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LONGMONT DENTAL PARTNERS, LLC.
Practice address
1751 Hover St
Suite a-2
Longmont, CO 80501-7140
Phone
(303) 679-7783
Fax
(303) 532-2287
NPI assigned
Jul 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Aaron MortensenNPI 1861726978
Title
Partner/Dentist
Phone
(303) 678-7783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1751 Hover St
Suite a-2
Longmont, CO 80501-7140

Mailing address

1751 Hover St
Suite a-2
Longmont, CO 80501-7140
Phone (303) 679-7783

Other identifiers 1

IdentifierTypeStateIssuer
67501761MedicaidCO

Other names 1

  • Comfort Dental Longmont Doing business as

National Provider Directory

National Provider Directory

Locations

1751 Hover St
Ste A2
Longmont, CO 80501
Phone (303) 679-7783

1750 Mountain View Ave
Longmont, CO 80501
Phone (303) 678-7783

Practitioners & affiliated clinicians

Practitioners 5

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": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1508273269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 HOVER ST",
            "address_2": "SUITE A-2",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017140",
            "telephone_number": "303-679-7783",
            "fax_number": "303-532-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 HOVER ST",
            "address_2": "SUITE A-2",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017140",
            "telephone_number": "303-679-7783",
            "fax_number": "303-532-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGMONT DENTAL PARTNERS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "MORTENSEN",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PARTNER/DENTIST",
        "authorized_official_telephone_number": "303-678-7783"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67501761",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Longmont",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comfort Dental Longmont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.