Organization Active NPI

Platteville Family Dentistry

  • Dental Clinic/Center
  • Platteville, CO
National Provider Identifier
1730433889
Registry record updated Oct 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10088 Issued in CO
Legal business name
PLATTEVILLE FAMILY DENTISTRY
Practice address
340 Justin Ave
Suite 120
Platteville, CO 80651-7800
Phone
(970) 590-6205
NPI assigned
Oct 27, 2012
Last updated
Oct 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2012

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

Authorized official

Name
Dr. Beth Ann Dorian, DMDNPI 1891830246
Title
Owner
Phone
(970) 590-6205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 10088 CO Primary

Addresses

Primary practice location

340 Justin Ave
Suite 120
Platteville, CO 80651-7800

Mailing address

417 Blue Lake TRL
Lafayette, CO 80026-8893
Phone (970) 590-6205

National Provider Directory

National Provider Directory

Locations

340 Justin Ave
Ste 120
Platteville, CO 80651
Phone (970) 590-6205

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1351296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351296000000",
    "number": "1730433889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 BLUE LAKE TRL",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268893",
            "telephone_number": "970-590-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 JUSTIN AVE",
            "address_2": "SUITE 120",
            "city": "PLATTEVILLE",
            "state": "CO",
            "postal_code": "806517800",
            "telephone_number": "970-590-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATTEVILLE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-27",
        "last_updated": "2012-10-27",
        "status": "A",
        "authorized_official_last_name": "DORIAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-590-6205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "10088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2012; 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.