NPIMap

Organization Active NPI

State of Colorado Department of Human Services

  • Dental Clinic/Center
  • Grand Junction, CO
National Provider Identifier
1871976928
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8513 Issued in CO
Legal business name
STATE OF COLORADO DEPARTMENT OF HUMAN SERVICES
Practice address
2800 Riverside Pkwy
Grand Junction, CO 81501-4721
Phone
(970) 255-5711
Fax
(970) 255-5714
NPI assigned
Jul 8, 2015
Last updated
Jul 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Mr. Robert Christian Mueller
Title
Agency Director
Phone
(970) 255-5711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8513 CO Primary

Addresses

Primary practice location

2800 Riverside Pkwy
Grand Junction, CO 81501-4721

Mailing address

2800 Riverside Pkwy
Grand Junction, CO 81501-4721
Phone (970) 255-5711

Other names 1

  • Grand Junction Regional Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Colorado State Veterans Nursing Home103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1871976928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 RIVERSIDE PKWY",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815014721",
            "telephone_number": "970-255-5711",
            "fax_number": "970-255-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 RIVERSIDE PKWY",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815014721",
            "telephone_number": "970-255-5711",
            "fax_number": "970-255-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF COLORADO DEPARTMENT OF HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "970-255-5711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "8513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Junction Regional Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.