Integrity Dental Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

00010527 Issued in CO

Legal business name

INTEGRITY DENTAL INC

Practice address

1100 Eagleridge Blvd
Pueblo, CO 81008

Phone

(719) 545-0604

Fax

(719) 545-0815

NPI assigned

May 23, 2012

Organization subpart

No

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

Authorized official

Name

Andrew Comerci, DDSNPI 1861790792

Title

Authorized Official

Phone

(719) 545-2468

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Comerci, BS, MS

  • General Practice Dentistry
  • Pueblo, CO
  • NPI 1861790792
  NPD (past) Authorized official
• Kirsten Cole, RDH

  • Dental Hygienist
  • Pueblo, CO
  • NPI 1124598172
  NPD (past)

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1851651848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 FORTINO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081856",
            "telephone_number": "719-545-0604",
            "fax_number": "719-545-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 EAGLERIDGE BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81008",
            "telephone_number": "719-545-0604",
            "fax_number": "719-545-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "COMERCI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "719-545-2468",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "00010527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94581771",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Interim Healthcare of Southeastern Colorado, Inc.
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• Internal Medicine & Pediatric Associates, LTD
• Internal Medicine Associates of Pueblo P.C.

• Dental Clinic/Center in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.