NPIMap

Organization Active NPI

Carbondale Dental Center P.C.

  • General Practice Dentistry
  • Carbondale, CO
National Provider Identifier
1609035682
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8893 Issued in CO
Legal business name
CARBONDALE DENTAL CENTER P.C.
Practice address
289 Main St
Suite 100
Carbondale, CO 81623-2548
Phone
(970) 963-3010
Fax
(970) 963-4104
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. Matthew Verheul, D.D.S.NPI 1699796136
Title
President/Owner
Phone
(970) 963-3010

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8893 CO Primary

Addresses

Primary practice location

289 Main St
Suite 100
Carbondale, CO 81623-2548

Mailing address

289 Main St
Suite 100
Carbondale, CO 81623-2548
Phone (970) 963-3010

National Provider Directory

National Provider Directory

Locations

289 Main St
Ste 100
Carbondale, CO 81623
Phone (970) 963-3010

Practitioners & affiliated clinicians

Practitioners 1

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": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1609035682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 MAIN ST",
            "address_2": "SUITE 100",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816232548",
            "telephone_number": "970-963-3010",
            "fax_number": "970-963-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 MAIN ST",
            "address_2": "SUITE 100",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816232548",
            "telephone_number": "970-963-3010",
            "fax_number": "970-963-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBONDALE DENTAL CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "VERHEUL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "970-963-3010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.