Wolfenden Family Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WOLFENDEN FAMILY DENTAL, PLLC

Doing business as

Berthoud Dental Care

Practice address

430 Bimson Ave
Berthoud, CO 80513-1395

Phone

(970) 236-7448

NPI assigned

Apr 26, 2021

Organization subpart

No

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

Authorized official

Name

Keith Wolfenden, DMDNPI 1629382981

Title

Dentist

Phone

(727) 457-3418

Specialties & licenses 1

Addresses

Other names 1

• Berthoud Dental Care Doing business as

Locations

Practitioners 1

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

• Keith Wolfenden, DMD

  • Dentist
  • Berthoud, CO
  • NPI 1629382981
  NPD Authorized official

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1508448846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 BRONCO CT",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805132829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BIMSON AVE",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805131395",
            "telephone_number": "970-236-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFENDEN FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "WOLFENDEN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "727-457-3418",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berthoud Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Berthoud Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridgett Murtagh Weaver, D.P.T.
• Miranda Hope Wichelns, LCSW
• Sheree Wilkinson, SLP
• Brett Wisniewski, D.C.
• WM. Rex Eland, O.D., P.C.
• Keith Wolfenden, DMD
• Dawn Cecil Wood, APRN
• Yellow Butterfly Counseling, LLC
• Jake Thomas Yuska

• Dental Clinic/Center in Berthoud, CO
• Providers in Berthoud, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.