Down to Earth Dentistry, LLC.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00202298 Issued in CO

Legal business name

DOWN TO EARTH DENTISTRY, LLC.

Doing business as

Dental Depot

Practice address

17 W. 4TH St.
La Junta, CO 81050

Phone

(719) 383-2083

Fax

(719) 383-2047

NPI assigned

Mar 26, 2014

Last updated

Feb 29, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

DOWN TO EARTH DENTISTRY LLCAs reported in NPPES

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

Authorized official

Name

Brady Sefcik, DDS

Title

DDS/Owner

Phone

(801) 400-4560

Specialties & licenses 2

Addresses

Other names 1

• Dental Depot Doing business as

Part of

Down to Earth Dentistry LLC

Locations

Practitioners 2

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.

• Garry Vangenderen, DDS

  • General Practice Dentistry
  • La Junta, CO
  • NPI 1871982140
  NPD (past)
• Victor Eduardo Perez, DDS

  • Periodontics
  • Rancho Cucamonga, CA
  • NPI 1760852917

  Dentist

  NPD (past)

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1730506809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W. 4TH ST",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "81050",
            "telephone_number": "719-383-2083",
            "fax_number": "719-383-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W. 4TH ST.",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "81050",
            "telephone_number": "719-383-2083",
            "fax_number": "719-383-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWN TO EARTH DENTISTRY, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOWN TO EARTH DENTISTRY LLC",
        "enumeration_date": "2014-03-26",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "SEFCIK",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "801-400-4560",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "00201897",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00202298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Depot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DHG Inc
• Brianne Dickinson, RN
• Laura Ann Diprince, M.S.
• Divine Health Group LLC
• Meryl Dohrmann, PH.D
• Gail Downey, RDH
• Sarah Droege, MA, LPC
• Sheri A Dubois, CMT
• Kathleen Dunn-Richmond, RRT
• Dutton Chiropractic, P.C.

• General Practice Dentistry in La Junta, CO
• Providers in La Junta, 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 Feb 29, 2016; 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.