Organization Active NPI

Bushberg Dental, PLLC

  • Dental Clinic/Center
  • Greeley, CO
National Provider Identifier
1578429932
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BUSHBERG DENTAL, PLLC
Practice address
2918 W 10TH St
Greeley, CO 80634-5457
Phone
(970) 673-8411
Fax
(970) 573-5143
NPI assigned
Dec 30, 2025
Last updated
Dec 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Kassie Stalsberg, DDS
Title
DDS
Phone
(970) 673-8411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2918 W 10TH St
Greeley, CO 80634-5457

Mailing address

2918 W 10TH St
Greeley, CO 80634-5457
Phone (970) 673-8411

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1578429932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 W 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345457",
            "telephone_number": "970-673-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 W 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345457",
            "telephone_number": "970-673-8411",
            "fax_number": "970-573-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSHBERG DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "STALSBERG",
        "authorized_official_first_name": "KASSIE",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "970-673-8411",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, 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.

Verify at the official NPI Registry.