Lift Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LIFT DENTAL PLLC

Doing business as

Artistic Smiles

Practice address

920 S Hover St
Longmont, CO 80501-7900

Phone

(303) 485-8888

NPI assigned

Dec 30, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Trey Jackson Thygerson, DDSNPI 1730755430

Title

Dentist

Phone

(303) 485-8888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Artistic Smiles Doing business as

Locations

Practitioners 2

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

• Trey Jackson Thygerson, DDS

  • General Practice Dentistry
  • Longmont, CO
  • NPI 1730755430
  NPD Authorized official
• Cliff Edward Rogge, D.D.S

  • General Practice Dentistry
  • Longmont, CO
  • NPI 1083638183
  NPD (past)

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1871253906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S HOVER ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017900",
            "telephone_number": "303-485-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S HOVER ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017900",
            "telephone_number": "303-485-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFT DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "THYGERSON",
        "authorized_official_first_name": "TREY",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "303-485-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730755430",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Artistic Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Marie Lewis, PT
• Ryan Charles Lewis, DMD
• Tom Lierman
• Sara Elizabeth Lieven, PT, DPT
• Life Chiropractic LLC
• Kaitlyn Liggett, BCBA
• Lighthouse Neurofeedback & Behavior Analysis, Inc
• Lighthouse Neurofeedback & Behavior Analysis, Inc.
• Lighthouse Neurofeedback & Behavior Analysis, Inc.
• Hui-Chung Jacquelina Lim

• Dental Clinic/Center in Longmont, CO
• Providers in Longmont, 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 Dec 30, 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.