Pathway Dental Group, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00202398 Issued in CO

Legal business name

PATHWAY DENTAL GROUP, LLC

Practice address

116 8TH St
Steamboat Springs, CO 80487-4973

Phone

(970) 824-1178

NPI assigned

Jan 19, 2015

Last updated

Jan 19, 2015By 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

Jason Hall, DDS

Title

Presiden/Dentist

Phone

(970) 824-1178

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1699164319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 8TH ST",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804874973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 8TH ST",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804874973",
            "telephone_number": "970-824-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDEN/DENTIST",
        "authorized_official_telephone_number": "970-824-1178",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00202398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Owens, DDS
• Catherine Wherry Pacocha, MPAS PA-C
• Jeffrey F Pal, M.D.
• Tracy Parcheta, PT
• Chriss D Parks, P.T.
• Kelsey Pavao
• Kendall Peck, DDS
• Pediatrics of Steamboat Springs
• Pediatrics of Steamboat Springs, PC
• Clay Michael Pendleton, M.D.

• General Practice Dentistry in Steamboat Springs, CO
• Providers in Steamboat 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 Jan 19, 2015; 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.