Organization Active NPI

Spring Creek Dental PLLC

  • General Practice Dentistry
  • Fort Collins, CO
National Provider Identifier
1780011221
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SPRING CREEK DENTAL PLLC
Practice address
2001 South Shields Street
BLDG. C-1
Fort Collins, CO 80526
Phone
(970) 482-8883
Fax
(970) 484-9278
NPI assigned
Sep 30, 2013
Last updated
Dec 16, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
SCHAEFER & KAINES FAMILY DENTISTRY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Dr. Joel Robert Kaines, D.D.S.NPI 1578683132
Title
Dentist/Owner
Phone
(970) 482-8883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2001 South Shields Street
BLDG. C-1
Fort Collins, CO 80526

Mailing address

2001 S Shields St
BLDG C1
Fort Collins, CO 80526-1827
Phone (970) 482-8883

National Provider Directory

National Provider Directory
Part of
Spring Creek Dental PLLC

Locations

2001 S Shields St
Ste C1
Fort Collins, CO 80526
Phone (303) 960-9000

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1780011221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST",
            "address_2": "BLDG C1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261827",
            "telephone_number": "970-482-8883",
            "fax_number": "970-484-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SOUTH SHIELDS STREET",
            "address_2": "BLDG. C-1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80526",
            "telephone_number": "970-482-8883",
            "fax_number": "970-484-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CREEK DENTAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCHAEFER & KAINES FAMILY DENTISTRY, PLLC",
        "enumeration_date": "2013-09-30",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "KAINES",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "970-482-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.