Louisville Dental Associates, PC

Primary specialty

DentistTaxonomy code 122300000X

License

10514 Issued in CO

Legal business name

LOUISVILLE DENTAL ASSOCIATES, PC

Practice address

1760 Centennial Dr
Louisville, CO 80027-1302

Phone

(303) 665-7505

Fax

(303) 664-9941

NPI assigned

May 5, 2015

Organization subpart

No

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

Authorized official

Name

Chuck Skinner, DMD

Title

Owner/President

Phone

(303) 665-7505

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1629455084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 CENTENNIAL DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271302",
            "telephone_number": "303-665-7505",
            "fax_number": "303-664-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 CENTENNIAL DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271302",
            "telephone_number": "303-665-7505",
            "fax_number": "303-664-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "303-665-7505",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "10514",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "201865",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "63",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "104857",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Kate Long
• Brett Lopez, DMD
• Debra Kay Lopez, RNFA
• Robert M. Lorenz, D.D.S
• Louisville Chiropractic & Wellness, LLC (Summit Family Chiropractic)
• Louisville Dental Prof. LLP (Comfort Dental Louisville)
• Louisville Dental Specialties and Implant Center
• Louisville Family Center, LLC
• Louisville Fire Protection District
• Louisville Injury Rehabilitation Inc.

• Dentist in Louisville, CO
• Providers in Louisville, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.