NPIMap

Organization Active NPI

Advanced Prosthodontics

Doing business as Front Range Dentures and Prosthodontics

  • Prosthodontics
  • Fort Collins, CO
National Provider Identifier
1568965812
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
D202404 Issued in CO
Legal business name
ADVANCED PROSTHODONTICS
Doing business as
Front Range Dentures and Prosthodontics
Practice address
1006 Robertson St Ste 210
Fort Collins, CO 80524-3920
Phone
(970) 493-9001
NPI assigned
Mar 13, 2018
Last updated
Mar 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Ron Bergloff
Title
Manager
Phone
(720) 431-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X D202404 CO Primary

Addresses

Primary practice location

1006 Robertson St Ste 210
Fort Collins, CO 80524-3920

Mailing address

1006 Robertson St Ste 210
Fort Collins, CO 80524-3920
Phone (970) 493-9001

Other names 1

  • Front Range Dentures and Prosthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1006 Robertson St
Ste 210
Fort Collins, CO 80524
Phone (970) 493-9001

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1568965812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 ROBERTSON ST STE 210",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243920",
            "telephone_number": "970-493-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 ROBERTSON ST STE 210",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243920",
            "telephone_number": "970-493-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PROSTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "BERGLOFF",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "720-431-6060"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CO",
            "license": "D202404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Front Range Dentures and Prosthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.