Ncdi Drake, Professional LLP

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

NCDI DRAKE, PROFESSIONAL LLP

Practice address

383 W Drake Rd
Suite 103
Fort Collins, CO 80526-2884

Phone

(970) 223-8687

Fax

(970) 207-1971

NPI assigned

Aug 26, 2016

Last updated

Aug 26, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

SVC DENTAL GROUP, PROFESSIONAL LLPAs reported in NPPES

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

Authorized official

Name

Katie Hambright

Title

Office Manager

Phone

(970) 223-8687

Specialties & licenses 1

Addresses

Part of

SVC Dental Group LLC

Locations

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1730635178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 W DRAKE RD",
            "address_2": "SUITE 103",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262884",
            "telephone_number": "970-223-8687",
            "fax_number": "970-207-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 W DRAKE RD",
            "address_2": "SUITE 103",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262884",
            "telephone_number": "970-223-8687",
            "fax_number": "970-207-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCDI DRAKE, PROFESSIONAL LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SVC DENTAL GROUP, PROFESSIONAL LLP",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "HAMBRIGHT",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-223-8687"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.