NPIMap

Organization Active NPI

House Family Dental PC

  • Dentist
  • Pueblo West, CO
National Provider Identifier
1740511765
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
106275 Issued in CO
Legal business name
HOUSE FAMILY DENTAL PC
Practice address
318 S Orchard Springs Dr
Pueblo West, CO 81007-6149
Phone
(719) 924-8623
Fax
(719) 924-9556
NPI assigned
Jan 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Dr. Mark T House, DMD
Title
Doctor/Owner
Phone
(719) 924-8623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 106275 CO Primary

Addresses

Primary practice location

318 S Orchard Springs Dr
Pueblo West, CO 81007-6149

Mailing address

318 S Orchard Springs Dr
Pueblo West, CO 81007-6149
Phone (719) 924-8623

Other names 1

  • House Family Dental PC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
House Family Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1740511765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 S ORCHARD SPRINGS DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810076149",
            "telephone_number": "719-924-8623",
            "fax_number": "719-924-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 S ORCHARD SPRINGS DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810076149",
            "telephone_number": "719-924-8623",
            "fax_number": "719-924-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "719-924-8623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "106275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "House Family Dental PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pueblo West, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.