Organization Active NPI

Peak Dentistry LLC

  • Dentist
  • Edwards, CO
National Provider Identifier
1649349812
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN8978 Issued in CO
Legal business name
PEAK DENTISTRY LLC
Practice address
34323 US Hwy 6
#C107
Edwards, CO 81632
Phone
(970) 926-7325
Fax
(970) 926-7327
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Glenn Todd Robison, DMDNPI 1821210436
Title
Dentist Owner
Phone
(970) 926-7325

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN8957 CO
Dentist 122300000X DEN8978 CO Primary

Addresses

Primary practice location

34323 US Hwy 6
#C107
Edwards, CO 81632

Mailing address

PO Box 2690
Edwards, CO 81632
Phone (970) 926-7325

Other names 1

  • Todd Robison DMD Mandy Robison DDS Mandy Newcomer DDS Other name

National Provider Directory

National Provider Directory

Locations

34323 Highway 6
Unit C-107
Edwards, CO 81632
Phone (970) 926-7325

Practitioners & affiliated clinicians

Practitioners 2

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649349812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2690",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-926-7325",
            "fax_number": "970-926-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34323 US HWY 6",
            "address_2": "#C107",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-926-7325",
            "fax_number": "970-926-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "970-926-7325",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN8957",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN8978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Todd Robison DMD Mandy Robison DDS Mandy Newcomer DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.