A Country Dentist, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

106313 Issued in CO

Legal business name

A COUNTRY DENTIST, PLLC

Practice address

107 W 9TH Ave
Fort Morgan, CO 80701-2011

Phone

(970) 867-2502

Fax

(970) 867-3795

NPI assigned

Mar 26, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Pasco W Scarpella, DDSNPI 1528014560

Title

Manager

Phone

(303) 335-8160

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pasco W. Scarpella, D.D.S.

  • Dentist
  • Brighton, CO
  • NPI 1528014560
  NPD Authorized official
• Lawrence Earl Lehrer, DDS

  • General Practice Dentistry
  • Fort Morgan, CO
  • NPI 1760587976
  NPD (past)

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1669977427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 9TH AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012011",
            "telephone_number": "970-867-2502",
            "fax_number": "970-867-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 9TH AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012011",
            "telephone_number": "970-867-2502",
            "fax_number": "970-867-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A COUNTRY DENTIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "SCARPELLA",
        "authorized_official_first_name": "PASCO",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-335-8160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "106313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32871716",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis Abreo
• Active Integrated Medicine LLC
• Advantage Treatment Centers Inc
• After Hours Clinic of Ft Morgan, LLC
• Allergy & Asthma Center of the Rockies PC

• Dental Clinic/Center in Fort Morgan, CO
• Providers in Fort Morgan, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.