Organization Active NPI

Canyon Point Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Golden, CO
National Provider Identifier
1548712912
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
9489 Issued in CO
Legal business name
CANYON POINT ORTHODONTICS
Practice address
108 N Rubey Dr
Golden, CO 80403-2455
Phone
(303) 215-9949
Fax
(720) 457-3893
NPI assigned
Nov 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Mrs. Amy L ShearerNPI 1316116304
Title
Owner
Phone
(303) 215-9949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 9489 CO Primary

Addresses

Primary practice location

108 N Rubey Dr
Golden, CO 80403-2455

Mailing address

108 N Rubey Dr
Golden, CO 80403-2455
Phone (303) 215-9949

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1548712912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N RUBEY DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804032455",
            "telephone_number": "303-215-9949",
            "fax_number": "720-457-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N RUBEY DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804032455",
            "telephone_number": "303-215-9949",
            "fax_number": "720-457-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON POINT ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "SHEARER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-215-9949",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "9489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.