Organization Active NPI

Elevated Dental

  • Dentist
  • Telluride, CO
National Provider Identifier
1841757028
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ELEVATED DENTAL
Practice address
101 E Colorado Ave
Suite 202
Telluride, CO 81435
Phone
(970) 728-3665
Fax
(970) 728-6589
NPI assigned
Feb 25, 2019
Last updated
Feb 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Authorized official

Name
Ashley Denton
Title
Front Office Administrator
Phone
(970) 728-3665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

101 E Colorado Ave
Suite 202
Telluride, CO 81435

Mailing address

PO Box 2439
Telluride, CO 81435-2439
Phone (970) 728-3665

Other identifiers 1

IdentifierTypeStateIssuer
1093096315OtherCONON-MEDICARE

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": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1841757028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2439",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814352439",
            "telephone_number": "970-728-3665",
            "fax_number": "970-728-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E COLORADO AVE",
            "address_2": "SUITE 202",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "81435",
            "telephone_number": "970-728-3665",
            "fax_number": "970-728-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "FRONT OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "970-728-3665"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-MEDICARE",
            "identifier": "1093096315",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Telluride, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.