Active NPI
Integrated Dental Arts PLLC
- Dentist
- Greeley, CO
National Provider Identifier
1508433160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- INTEGRATED DENTAL ARTS PLLC
- Practice address
- 7251 W 20TH St BLDG H
Greeley, CO 80634-4625 - Phone
- (970) 281-5972
- NPI assigned
- Jun 10, 2021
- 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
- Dr. Todd Matheson, DMD
- Title
- Owner
- Phone
- (208) 351-1001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
7251 W 20TH St BLDG H
Greeley, CO 80634-4625
Mailing address
7251 W 20TH St BLDG H
Greeley, CO 80634-4625
Phone (970) 281-5972
Other names 1
- Integrated Dental Arts
National Provider Directory
National Provider DirectoryLocations
7251 W 20th St
Bldg H
Greeley, CO 80634
Phone (970) 281-5972
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Longmont, CO
- NPI 1023684503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623283200000",
"number": "1508433160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7251 W 20TH ST BLDG H",
"city": "GREELEY",
"state": "CO",
"postal_code": "806344625",
"telephone_number": "970-281-5972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7251 W 20TH ST BLDG H",
"city": "GREELEY",
"state": "CO",
"postal_code": "806344625",
"telephone_number": "970-281-5972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED DENTAL ARTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A",
"authorized_official_last_name": "MATHESON",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-351-1001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Integrated Dental Arts",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.