NPIMap

Organization Active NPI

Mineral County Dental Clinic

  • Dental Clinic/Center
  • Creede, CO
National Provider Identifier
1881003002
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MINERAL COUNTY DENTAL CLINIC
Practice address
802 Rio Grande Ave
Creede, CO 81130
Phone
(719) 658-0322
Fax
(719) 658-0322
NPI assigned
Aug 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Mr. Scott Lamb
Title
County Commissioner
Phone
(719) 658-2331

Specialties & licenses 1

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

Addresses

Primary practice location

802 Rio Grande Ave
Creede, CO 81130

Mailing address

P.O. Box 57
802 Rio Grande Ave
Creede, CO 81130
Phone (719) 658-0322

National Provider Directory

National Provider Directory
Tax ID family
Mineral County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1881003002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 57",
            "address_2": "802 RIO GRANDE AVE",
            "city": "CREEDE",
            "state": "CO",
            "postal_code": "81130",
            "telephone_number": "719-658-0322",
            "fax_number": "719-658-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 RIO GRANDE AVE",
            "city": "CREEDE",
            "state": "CO",
            "postal_code": "81130",
            "telephone_number": "719-658-0322",
            "fax_number": "719-658-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERAL COUNTY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "LAMB",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "COUNTY COMMISSIONER",
        "authorized_official_telephone_number": "719-658-2331",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creede, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.