Organization Active NPI

Pagosa Springs Family Dental LLC

  • Dentist
  • Pagosa Springs, CO
National Provider Identifier
1528855830
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PAGOSA SPRINGS FAMILY DENTAL LLC
Practice address
2363 Eagle Dr Unit a
Pagosa Springs, CO 81147-9058
Phone
(970) 528-3384
NPI assigned
Apr 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Justin J Nylund, DDS
Title
Owner
Phone
(970) 528-3384

Specialties & licenses 1

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

Addresses

Primary practice location

2363 Eagle Dr Unit a
Pagosa Springs, CO 81147-9058

Mailing address

245 Pines Club PL
Pagosa Springs, CO 81147-9304
Phone (970) 528-3384

National Provider Directory

National Provider Directory

Locations

2363 Eagle Dr
Unit A
Pagosa Springs, CO 81147
Phone (970) 528-3384

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1528855830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 PINES CLUB PL",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479304",
            "telephone_number": "970-528-3384",
            "fax_number": "970-507-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 EAGLE DR UNIT A",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479058",
            "telephone_number": "970-528-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGOSA SPRINGS FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "NYLUND",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-528-3384",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pagosa Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.