Orthodontics of Southwest Colorado PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ORTHODONTICS OF SOUTHWEST COLORADO PC

Practice address

101 S Maple St
Cortez, CO 81321-3562

Phone

(970) 565-3531

NPI assigned

Jan 24, 2019

Last updated

Feb 4, 2019By 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

Amanda Salazar

Title

Billing

Phone

(505) 592-0482

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1679037675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 N BUTLER AVE STE B",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874010816",
            "telephone_number": "505-592-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAPLE ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213562",
            "telephone_number": "970-565-3531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Wolverine Dr Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Bayfield",
            "state": "CO",
            "postal_code": "811229653",
            "country_code": "US",
            "telephone_number": "970-565-3531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S Camino Del Rio Ste 205",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813016857",
            "country_code": "US",
            "telephone_number": "970-565-3531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHODONTICS OF SOUTHWEST COLORADO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "505-592-0482"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Cortez, CO
• Providers in Cortez, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.