NPIMap

Organization Active NPI

M&M Dental Partnership PLLC

Doing business as Elevated Dental - Gypsum

  • General Practice Dentistry
  • Gypsum, CO
National Provider Identifier
1609798024
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
M&M DENTAL PARTNERSHIP PLLC
Doing business as
Elevated Dental - Gypsum
Practice address
150 Cooley Mesa Rd
Unit D
Gypsum, CO 81637
Phone
(970) 431-6616
Fax
(970) 431-6810
NPI assigned
Jul 28, 2026
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Justin Michael MosesNPI 1174889935
Title
Partner/Dentist
Phone
(970) 476-3991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

150 Cooley Mesa Rd
Unit D
Gypsum, CO 81637

Mailing address

PO Box 918
Gypsum, CO 81637-0918
Phone (970) 431-6616

Other names 1

  • Elevated Dental - Gypsum Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MM Dental Partnership PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1609798024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918",
            "city": "GYPSUM",
            "state": "CO",
            "postal_code": "816370918",
            "telephone_number": "970-431-6616",
            "fax_number": "970-431-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 COOLEY MESA RD",
            "address_2": "UNIT D",
            "city": "GYPSUM",
            "state": "CO",
            "postal_code": "81637",
            "telephone_number": "970-431-6616",
            "fax_number": "970-431-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M DENTAL PARTNERSHIP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER/DENTIST",
        "authorized_official_telephone_number": "970-476-3991"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevated Dental - Gypsum",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gypsum, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.