Active NPI
Dentists of Greeley, LLP
Doing business as Dentists of Greeley
- General Practice Dentistry
- Greeley, CO
National Provider Identifier
1679017560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTISTS OF GREELEY, LLP
- Doing business as
- Dentists of Greeley
- Practice address
- 4421 Centerplace Dr
Suite a
Greeley, CO 80634-3756 - Phone
- (970) 236-9324
- Fax
- (970) 315-3356
- NPI assigned
- Dec 12, 2016
- Last updated
- Dec 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thaddeus R Carter, DDS
- Title
- Owner
- Phone
- (970) 236-9324
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
4421 Centerplace Dr
Suite a
Greeley, CO 80634-3756
Mailing address
17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890
Other names 1
- Dentists of Greeley
National Provider Directory
National Provider DirectoryLocations
4421 Centerplace Dr
Unit A
Greeley, CO 80634
Phone (970) 236-9324
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Dentist
- Greeley, CO
- NPI 1740804707
-
- Dentist
- Boulder, CO
- NPI 1992481493
-
- General Practice Dentistry
- Fort Wayne, IN
- NPI 1003302894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481500800000",
"number": "1679017560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17000 RED HILL AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145626",
"telephone_number": "714-845-8890",
"fax_number": "949-474-1495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4421 CENTERPLACE DR",
"address_2": "SUITE A",
"city": "GREELEY",
"state": "CO",
"postal_code": "806343756",
"telephone_number": "970-236-9324",
"fax_number": "970-315-3356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTISTS OF GREELEY, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-12",
"last_updated": "2016-12-12",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "THADDEUS",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-236-9324",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dentists of Greeley",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.