NPIMap

Organization Active NPI

Saunders Implant & Denture Care

  • Dental Laboratory
  • Pueblo, CO
National Provider Identifier
1619244167
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental LaboratoryTaxonomy code 292200000X
License
02044006 Issued in CO
Legal business name
SAUNDERS IMPLANT & DENTURE CARE
Practice address
902 W 29TH St
Pueblo, CO 81008-1159
Phone
(719) 544-6787
NPI assigned
Nov 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Dr. Robert Michael Saunders, D.M.D.
Title
Dentist/Owner
Phone
(719) 544-6787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Laboratory 292200000X 02044006 CO Primary

Addresses

Primary practice location

902 W 29TH St
Pueblo, CO 81008-1159

Mailing address

902 W 29TH St
Pueblo, CO 81008-1159

Other identifiers 1

IdentifierTypeStateIssuer
45672032MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1619244167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W 29TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W 29TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081159",
            "telephone_number": "719-544-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUNDERS IMPLANT & DENTURE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "719-544-6787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "CO",
            "license": "02044006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45672032",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.