Pediatric Dental Specialists of Western Co

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTAL SPECIALISTS OF WESTERN CO

Practice address

101 Jurassic Ave
Fruita, CO 81521-7705

Phone

(970) 639-9551

Fax

(970) 639-9552

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Kari Cox

Title

Office Manager

Phone

(970) 639-9551

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jeremy S Cox, DMD

  • Pediatric Dentistry
  • Grand Junction, CO
  • NPI 1154681575
  NPD

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1851993612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 CHAPARRAL DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815079533",
            "telephone_number": "970-812-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JURASSIC AVE",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815217705",
            "telephone_number": "970-639-9551",
            "fax_number": "970-639-9552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2466 Hwy 6 and 50 Ste 3",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815055500",
            "country_code": "US",
            "telephone_number": "970-639-9551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL SPECIALISTS OF WESTERN CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-639-9551"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Louise Omura, RPH
• Stacy Lane Osmun, R.PH.
• Dustin Lee Patrick, D.D.S.
• Ryan D Payne, D.P.M
• Ivy R Pedersen, PT
• Kathryn E. Pierce, MD
• Thomas A Politzer, O.D.
• Ellen Woelfel Price, DO
• Primary Care Partners, Inc.
• Primary Care Partners, Inc.

• Pediatric Dentistry in Fruita, CO
• Providers in Fruita, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.