Aspen Ridge Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1026 Issued in WY

Legal business name

ASPEN RIDGE DENTAL LLC

Practice address

1122 S Conwell St
Casper, WY 82601-3965

Phone

(307) 234-6054

Fax

(307) 234-7896

NPI assigned

Aug 28, 2012

Last updated

Aug 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clis Adams

Title

Office Manager

Phone

(307) 234-6054

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1649528456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 S CONWELL ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013965",
            "telephone_number": "307-234-6054",
            "fax_number": "307-234-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 S CONWELL ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013965",
            "telephone_number": "307-234-6054",
            "fax_number": "307-234-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN RIDGE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CLIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "307-234-6054"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WY",
            "license": "1026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Leigh Asbury, PT, DPT
• Lisa R Ashland, AA, BA
• Steven Asire, PCSW
• Aspen Creek Counseling Associates, LLC
• Aspen Ridge Dental
• Aspire Case Management Services
• Christopher John Atencio
• Atman Wellness LLC
• Rhonda Racheal Aune, RNFA
• Aunkia Fowler and Associates LLC

• Dental Clinic/Center in Casper, WY
• Providers in Casper, WY by specialty
• Dental Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.