NPIMap

Organization Active NPI

Dental Sleep Therapy of Fort Collins LLC

  • Customized Equipment (DME)
  • Fort Collins, CO
National Provider Identifier
1821479205
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
6693 Issued in CO
Legal business name
DENTAL SLEEP THERAPY OF FORT COLLINS LLC
Practice address
140 Boardwalk Dr Unit G
Fort Collins, CO 80525-3153
Phone
(970) 407-8080
Fax
(970) 221-3590
NPI assigned
Jun 11, 2015
Last updated
Jun 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Richard Scott Wuerker, D,D.S.NPI 1356361604
Title
Owner
Phone
(970) 407-8080

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
Customized Equipment (DME) 332BC3200X 6693 CO Primary

Addresses

Primary practice location

140 Boardwalk Dr Unit G
Fort Collins, CO 80525-3153

Mailing address

140 Boardwalk Dr Unit G
Fort Collins, CO 80525-3153
Phone (970) 407-8080

National Provider Directory

National Provider Directory

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": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1821479205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BOARDWALK DR UNIT G",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253153",
            "telephone_number": "970-407-8080",
            "fax_number": "970-221-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BOARDWALK DR UNIT G",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253153",
            "telephone_number": "970-407-8080",
            "fax_number": "970-221-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SLEEP THERAPY OF FORT COLLINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "WUERKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-407-8080",
        "authorized_official_credential": "D,D.S."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CO",
            "license": "6693",
            "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 Jun 11, 2015; 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.