Image Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7805 Issued in CO

Legal business name

IMAGE DENTAL

Practice address

56 Edwards Village Blvd
Suite 216
Edwards, CO 81632-7802

Phone

(970) 926-5437

Fax

(970) 926-7960

NPI assigned

Mar 20, 2007

Last updated

Aug 22, 2020By 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

Dr. Richard MaguireNPI 1760566723

Title

Managing Partner

Phone

(970) 926-5437

Specialties & licenses 1

Addresses

Locations

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.

• Richard Maguire, D.D.S

  • General Practice Dentistry
  • Edwards, CO
  • NPI 1760566723
  NPD (past) Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740305820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 EDWARDS VILLAGE BLVD",
            "address_2": "SUITE 216",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816327802",
            "telephone_number": "970-926-5437",
            "fax_number": "970-926-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 EDWARDS VILLAGE BLVD",
            "address_2": "SUITE 216",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816327802",
            "telephone_number": "970-926-5437",
            "fax_number": "970-926-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAGUIRE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "970-926-5437",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "7805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Theresa Howard, M.D.
• John Howell III, L.AC.
• Brittney Huntimer, DPT
• Jessica Hurdubei
• Colleen Deirdre Ihnken, N.P.
• Innate Wellness LLC
• Jamie Brant MD PLLC
• Katie Jones, FNP
• Sean Juarez, PT, DPT
• Kaiser Foundation Health Plan of Colorado (Kaiser Permanente Edwards Medical Offices)

• Dental Clinic/Center in Edwards, CO
• Providers in Edwards, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.