NPIMap

Organization Active NPI

Ryan W. Whitman Family & Cosmetic Dentistry, PLLC

Doing business as Durango Family Dentistry

  • Dental Clinic/Center
  • Durango, CO
National Provider Identifier
1568625853
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DEN.00202133 Issued in CO
Legal business name
RYAN W. WHITMAN FAMILY & COSMETIC DENTISTRY, PLLC
Doing business as
Durango Family Dentistry
Practice address
1165 S Camino del Rio Ste 300
Durango, CO 81303-6824
Phone
(970) 382-8111
Fax
(970) 385-4529
NPI assigned
Jul 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Authorized official

Name
Brooke Tennille Whitman
Title
Business Manager
Phone
(918) 671-8839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DEN.00202133 CO Primary

Addresses

Primary practice location

1165 S Camino del Rio Ste 300
Durango, CO 81303-6824

Mailing address

1165 S Camino del Rio Ste 300
Durango, CO 81303-6824
Phone (970) 382-8111

Other names 1

  • Durango Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1165 S Camino del Rio
Ste 300
Durango, CO 81303
Phone (970) 382-8111

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1568625853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 S CAMINO DEL RIO STE 300",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036824",
            "telephone_number": "970-382-8111",
            "fax_number": "970-385-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 S CAMINO DEL RIO STE 300",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036824",
            "telephone_number": "970-382-8111",
            "fax_number": "970-385-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN W. WHITMAN FAMILY & COSMETIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "WHITMAN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "TENNILLE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "918-671-8839"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "DEN.00202133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durango Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.