NPIMap

Organization Active NPI

Pediatric Dentistry of Loveland PLLC

  • Pediatric Dentistry
  • Loveland, CO
National Provider Identifier
1780196667
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN-9679 Issued in CO
Legal business name
PEDIATRIC DENTISTRY OF LOVELAND PLLC
Practice address
2800 Madison Square Dr Ste 1
Loveland, CO 80538-3358
Phone
(970) 669-7711
Fax
(970) 669-2491
NPI assigned
Oct 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Authorized official

Name
Dr. Katherine Suzanne Galm, DDSNPI 1821238833
Title
Pediatric Dentist
Phone
(970) 669-7711

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DEN-9679 CO Primary

Addresses

Primary practice location

2800 Madison Square Dr Ste 1
Loveland, CO 80538-3358

Mailing address

2800 Madison Square Dr Ste 1
Loveland, CO 80538-3358
Phone (970) 669-7711

Other identifiers 3

IdentifierTypeStateIssuer
03205568MedicaidCO
02009462MedicaidCO
66472270MedicaidCO

Other names 1

  • Pediatric Dentistry of Loveland Former legal business name

National Provider Directory

National Provider Directory

Locations

2800 Madison Square Dr
Ste 1
Loveland, CO 80538
Phone (970) 669-7711

Practitioners & affiliated clinicians

Practitioners 2

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": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1780196667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MADISON SQUARE DR STE 1",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383358",
            "telephone_number": "970-669-7711",
            "fax_number": "970-669-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MADISON SQUARE DR STE 1",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383358",
            "telephone_number": "970-669-7711",
            "fax_number": "970-669-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF LOVELAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "GALM",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "970-669-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "DEN-9679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03205568",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02009462",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66472270",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry of Loveland",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.