Organization Active NPI

VSB Colorado Providers PLLC

Doing business as Vivos Breathing Wellness Centers

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Denver, CO
National Provider Identifier
1528544582
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
VSB COLORADO PROVIDERS PLLC
Doing business as
Vivos Breathing Wellness Centers
Practice address
3300 E 1St Ave Ste 690
Denver, CO 80206-5809
Phone
(720) 356-4010
Fax
(303) 736-7253
NPI assigned
Jul 12, 2018
Organization subpart
Yes
Parent organization
VSB COLORADO PROVIDERS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Authorized official

Name
Michael Driessen
Title
Registered Agent and Officer
Phone
(818) 306-3215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

3300 E 1St Ave Ste 690
Denver, CO 80206-5809

Mailing address

1942 Caminito de la Estrella
Glendale, CA 91208-3000
Phone (818) 306-3215

Other names 1

  • Vivos Breathing Wellness Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
VSB Colorado Providers PLLC2 organizations share this tax ID, including this one
Part of
VSB Colorado Providers PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1528544582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 CAMINITO DE LA ESTRELLA",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912083000",
            "telephone_number": "818-306-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E 1ST AVE STE 690",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065809",
            "telephone_number": "720-356-4010",
            "fax_number": "303-736-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VSB COLORADO PROVIDERS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VSB COLORADO PROVIDERS PLLC",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "DRIESSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "REGISTERED AGENT AND OFFICER",
        "authorized_official_telephone_number": "818-306-3215"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vivos Breathing Wellness Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.