Twin Peaks Dental & Orthodontics

Primary specialty

DentistTaxonomy code 122300000X

License

00201981 Issued in CO

Legal business name

TWIN PEAKS DENTAL & ORTHODONTICS

Practice address

1325 Dry Creek Dr Ste 206
Longmont, CO 80503-7748

Phone

(303) 774-8300

NPI assigned

Oct 12, 2016

Organization subpart

No

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

Authorized official

Name

Chuck Skinner, DMD

Title

Owner/President

Phone

(303) 774-8300

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1780134999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 DRY CREEK DR STE 206",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037748",
            "telephone_number": "303-774-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 DRY CREEK DR STE 206",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037748",
            "telephone_number": "303-774-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN PEAKS DENTAL & ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "303-774-8300",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "10514",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "00201981",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "201865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Leah Turley, MA, CCC-SLP
• Lisa A Turner, MD
• Tiffanie Rae Turner, MA CCC-SLP
• Turtlemoon, Inc.
• Mark Kardos Tuttle, M.D.
• Twin Peaks Dermatology, PC
• Twin Peaks Medical Imaging LLC
• Twin Peaks Wound and Wellness Center
• Shantell M Twobears, MD
• Theresa A Tyler

• Dentist in Longmont, CO
• Providers in Longmont, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.