My Local Colorado Dental Practice, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MY LOCAL COLORADO DENTAL PRACTICE, LLC

Practice address

6110 Barnes Rd
Colorado Springs, CO 80922-2600

Phone

(719) 630-3366

NPI assigned

Jul 6, 2016

Organization subpart

No

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

Authorized official

Name

Michelle Johnson

Title

Credentialing Specialist

Phone

(509) 315-8338

Specialties & licenses 1

Addresses

Other names 24

• 38th Modern Dental Doing business as
• Advantage Dental Group Doing business as
• All Smiles Dental Group Doing business as
• Apple Tree Dental Doing business as
• Castle Pines Dental Group Doing business as
• College Ave Modern Dental Doing business as
• East Harmony Dental Doing business as
• Flatirons Family Dental and Orthodontics Doing business as
• Fountain Dental Center Doing business as
• GVR Dental and Orthodontics Doing business as
• Greeley Dental Health Doing business as
• Hampden Dental Group Doing business as
• Highlands Ranch Dental Group Doing business as
• KIP Dental and Orthodontics Doing business as
• Lone Tree Modern Dental Doing business as
• Lowry Main Street Dental Doing business as
• Mountain Shadows Dental Doing business as
• My Dentist Doing business as
• Panorama Dental Doing business as
• South Springs Dental Group Doing business as
• Stapleton Modern Dental Doing business as
• Stetson Hills Dental Doing business as
• Windsor Family Dentistry Doing business as
• Woodland Park Dental Group Doing business as

Tax ID family

38TH Modern Dental2 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.

• My Local Colorado Dental Practice, LLC

  • Dental Clinic/Center
  • Westminster, CO
  • NPI 1366912180
  NPD tax ID

Locations

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

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    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1669824314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 BARNES RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222600",
            "telephone_number": "719-266-2717",
            "fax_number": "719-213-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 BARNES RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222600",
            "telephone_number": "719-630-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 W 38th Ave # 5",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802111972",
            "country_code": "US",
            "telephone_number": "303-515-7008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1160 W Ash St",
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            "city": "Windsor",
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            "telephone_number": "970-686-1186",
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        {
            "address_1": "3617 S College Ave Unit B",
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            "telephone_number": "970-233-8933",
            "country_name": "United States",
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        {
            "address_1": "2800 E 136th Ave",
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            "state": "CO",
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            "country_code": "US",
            "telephone_number": "720-872-2892",
            "country_name": "United States",
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        },
        {
            "address_1": "5021 S Jellison Way Unit C",
            "address_purpose": "LOCATION",
            "city": "Littleton",
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            "postal_code": "801237306",
            "country_code": "US",
            "telephone_number": "720-608-5557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11078 Cimarron St Unit H",
            "address_purpose": "LOCATION",
            "city": "Firestone",
            "state": "CO",
            "postal_code": "805046600",
            "country_code": "US",
            "telephone_number": "303-485-6595",
            "country_name": "United States",
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        },
        {
            "address_1": "1691 Coalton Rd",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "CO",
            "postal_code": "800274610",
            "country_code": "US",
            "telephone_number": "720-304-3267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 23rd Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806346071",
            "country_code": "US",
            "telephone_number": "970-353-4329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Morning Sun Dr Ste 200W",
            "address_purpose": "LOCATION",
            "city": "Woodland Park",
            "state": "CO",
            "postal_code": "808639160",
            "country_code": "US",
            "telephone_number": "719-484-8490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6514 S Academy Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809068614",
            "country_code": "US",
            "telephone_number": "719-494-0718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8085 Fountain Mesa Rd",
            "address_purpose": "LOCATION",
            "city": "Fountain",
            "state": "CO",
            "postal_code": "808171591",
            "country_code": "US",
            "telephone_number": "719-382-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5910 Stetson Hills Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809233580",
            "country_code": "US",
            "telephone_number": "719-694-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Fortino Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810081890",
            "country_code": "US",
            "telephone_number": "719-545-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "562 E Castle Pines Pkwy Ste C8",
            "address_purpose": "LOCATION",
            "city": "Castle Pines",
            "state": "CO",
            "postal_code": "801084609",
            "country_code": "US",
            "telephone_number": "720-457-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9227 E Lincoln Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245504",
            "country_code": "US",
            "telephone_number": "720-943-2153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9385 S Colorado Blvd Unit 102",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801265241",
            "country_code": "US",
            "telephone_number": "720-439-2984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3095 S Parker Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800142917",
            "country_code": "US",
            "telephone_number": "303-755-8388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Quebec St Unit 105",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802307144",
            "country_code": "US",
            "telephone_number": "303-364-6659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18121 E Hampden Ave Unit E",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800133591",
            "country_code": "US",
            "telephone_number": "303-317-5335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4998 Tower Rd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802496684",
            "country_code": "US",
            "telephone_number": "303-317-5545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3541 E Harmony Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805288816",
            "country_code": "US",
            "telephone_number": "970-829-8209",
            "fax_number": "719-213-2311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7505 E 35th Ave Unit 304",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80238",
            "country_code": "US",
            "telephone_number": "303-785-8991",
            "fax_number": "888-790-7062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2721 W 120th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "802342946",
            "country_code": "US",
            "telephone_number": "303-586-6985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3955 E 120th Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802332075",
            "country_code": "US",
            "telephone_number": "303-255-4855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY LOCAL COLORADO DENTAL PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "509-315-8338"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "38th Modern Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advantage Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "All Smiles Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apple Tree Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Castle Pines Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "College Ave Modern Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Harmony Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flatirons Family Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fountain Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GVR Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greeley Dental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hampden Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highlands Ranch Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KIP Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lone Tree Modern Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lowry Main Street Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Shadows Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Dentist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Panorama Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Springs Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stapleton Modern Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stetson Hills Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Windsor Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodland Park Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• My Local Colorado Dental Practice, LLC
• My Local Colorado Dental Practice, LLC
• My Local Colorado Dental Practice, LLC
• My Local Colorado Dental Practice, LLC
• My Local Colorado Dental Practice, LLC
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• General Practice Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.