Organization Active NPI

Collindale Dental General Partnership

  • General Practice Dentistry
  • Fort Collins, CO
National Provider Identifier
1679360481
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COLLINDALE DENTAL GENERAL PARTNERSHIP
Practice address
3506 Lochwood Dr
Fort Collins, CO 80525-2995
Phone
(970) 377-2557
Fax
(970) 377-0761
NPI assigned
Apr 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Timothy Owens, DDSNPI 1124172705
Title
DDS, Owner
Phone
(970) 631-6977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3506 Lochwood Dr
Fort Collins, CO 80525-2995

Mailing address

3506 Lochwood Dr
Fort Collins, CO 80525-2995
Phone (970) 377-2557

Other names 1

  • Collindale Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1679360481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 LOCHWOOD DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252995",
            "telephone_number": "970-377-2557",
            "fax_number": "970-377-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 LOCHWOOD DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252995",
            "telephone_number": "970-377-2557",
            "fax_number": "970-377-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINDALE DENTAL GENERAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "DDS, OWNER",
        "authorized_official_telephone_number": "970-631-6977",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collindale Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.