Cascade Medical and Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DEN.00010745 Issued in CO

Legal business name

CASCADE MEDICAL AND DENTAL LLC

Doing business as

Cascade Medical & Dental

Practice address

410 Macon Ave
Canon City, CO 81212-3225

Phone

(719) 276-0117

NPI assigned

Jun 28, 2017

Last updated

Jul 21, 2022By 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

Dr. Clinton Scott Timmerman, DDSNPI 1598958548

Title

Manager

Phone

(206) 818-0769

Specialties & licenses 1

Addresses

Other names 1

• Cascade Medical & Dental Doing business as

Locations

Practitioners 1

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.

• Clinton Scott Timmerman, DDS

  • General Practice Dentistry
  • Canon City, CO
  • NPI 1598958548
  NPD Authorized official

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689195836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S DOGWOOD CT",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810077564",
            "telephone_number": "206-818-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MACON AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123225",
            "telephone_number": "719-276-0117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 S Dogwood Ct",
            "address_purpose": "LOCATION",
            "city": "Pueblo West",
            "state": "CO",
            "postal_code": "810077564",
            "country_code": "US",
            "telephone_number": "206-818-0769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 N Grand Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810032755",
            "country_code": "US",
            "telephone_number": "719-564-1542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASCADE MEDICAL AND DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TIMMERMAN",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-818-0769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "DEN.00010745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Medical & Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Carlson, RN
• Jordynne Carmichael-Green
• Elizabeth Crystal Carochi
• Molly Carpenter, MA
• Christopher M Carter
• Dylan Casias
• Javier Del Castillo, LCSW, CAC III
• Nancy Marie Castro, PHARMD
• Catholic Health Iniatives Colorado (Centura St. Thomas More Hospital Pharmacy)
• Catholic Health Iniatives Colorado (St Thomas More Hospital)

• Dental Clinic/Center in Canon City, CO
• Providers in Canon City, 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 Jul 21, 2022; 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.