Glow Comprehensive Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

License

10514 Issued in CO

Legal business name

GLOW COMPREHENSIVE DENTISTRY, PC

Practice address

850 W Happy Canyon Rd
Castle Rock, CO 80108-3908

Phone

(303) 688-5705

Fax

(303) 688-5731

NPI assigned

Dec 26, 2014

Last updated

Dec 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chuck Skinner

Title

Owner

Phone

(907) 350-3815

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1538557640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W HAPPY CANYON RD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801083908",
            "telephone_number": "303-688-5705",
            "fax_number": "303-688-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W HAPPY CANYON RD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801083908",
            "telephone_number": "303-688-5705",
            "fax_number": "303-688-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOW COMPREHENSIVE DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-26",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-350-3815"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10514",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessika Girard, DPT
• Audrey Glenn
• Kelly Glenn
• Andrew Lawrence Glerum, DO
• Kari Glime
• Godent PLLC
• Anja Denali Goetten, OTD OTR/L
• Joshua James Goetz, O.D.
• Golden Orchard III
• Michael Goldfine, MD

• Dentist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.