Pagosa Kids Familydental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PAGOSA KIDS FAMILYDENTAL

Practice address

46 Eaton Dr Ste 1
Pagosa Springs, CO 81147-8228

Phone

(970) 264-0554

NPI assigned

Mar 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Tyler Anthony Mann, D.D.S.

Title

Dentist

Phone

(970) 264-0554

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1689997462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 EATON DR STE 1",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478228",
            "telephone_number": "970-264-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 EATON DR STE 1",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478228",
            "telephone_number": "970-264-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGOSA KIDS FAMILYDENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "970-264-0554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elly C Osmera, CMT
• Jennifer Marie Owens, LMT
• Pagosa Caritas Family Medicine LLC
• Pagosa Chiropractic
• Pagosa Dental PC
• Pagosa P&C Inc.
• Pagosa Peak Family Dentistry, PLLC
• Pagosa Springs Family Dental LLC
• Pagosa Springs Family Medical Center
• Pagosa Springs Family Medicine Center PC

• General Practice Dentistry in Pagosa Springs, CO
• Providers in Pagosa Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.