NPIMap

Organization Active NPI

Woodmen Dental, Professional LLC

  • General Practice Dentistry
  • Falcon, CO
National Provider Identifier
1760735856
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8702 Issued in CO
Legal business name
WOODMEN DENTAL, PROFESSIONAL LLC
Practice address
7685 McLaughlin Rd
Unit 100
Falcon, CO 80831-4751
Phone
(719) 694-1929
NPI assigned
Oct 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Dr. Douglas Peak
Title
Owner/Dentist
Phone
(719) 694-1929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8702 CO Primary

Addresses

Primary practice location

7685 McLaughlin Rd
Unit 100
Falcon, CO 80831-4751

Mailing address

7685 McLaughlin Rd
Unit 100
Falcon, CO 80831-4751
Phone (719) 694-1929

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1760735856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7685 MCLAUGHLIN RD",
            "address_2": "UNIT 100",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808314751",
            "telephone_number": "719-694-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7685 MCLAUGHLIN RD",
            "address_2": "UNIT 100",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808314751",
            "telephone_number": "719-694-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODMEN DENTAL, PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "PEAK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "719-694-1929",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falcon, CO

Sources for this page

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