Tri Lakes Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9335 Issued in CO

Legal business name

TRI LAKES DENTAL

Practice address

1864 Woodmoor Dr
Suite #101
Monument, CO 80132-9095

Phone

(719) 488-5981

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

Jarom Lamoreaux, DMD

Title

Owner/Manager

Phone

(719) 488-5981

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kelly Sabrina Lamoreaux, DMD

  • General Practice Dentistry
  • Monument, CO
  • NPI 1942485131
  NPD (past)

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1598940785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 WOODMOOR DR",
            "address_2": "SUITE #101",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329095",
            "telephone_number": "719-488-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 WOODMOOR DR",
            "address_2": "SUITE #101",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329095",
            "telephone_number": "719-488-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI LAKES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "LAMOREAUX",
        "authorized_official_first_name": "JAROM",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "719-488-5981",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soledad Bandilla Thornton
• Gerard Timmins, D.D.S, M.S.
• Charles Reagan Toal, PT, DPT
• Ryan G Tollis, DPT
• Michael Torres, D.O.
• Tri-Lakes Counseling and Peak Performance, LLC
• Tri-Lakes Monument Fire Protection District
• Tri-Lakes Monument Fire Protection District
• Jaimee Troyer, MSN, APRN, PMHNP-BC
• Sarah Trythall

• General Practice Dentistry in Monument, CO
• Providers in Monument, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.