Active NPI
Pagosa Springs Family Dental LLC
- Dentist
- Pagosa Springs, CO
National Provider Identifier
1528855830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.