Organization Active NPI

Orchard Mesa Dental P.C.

  • Dental Clinic/Center
  • Grand Junction, CO
National Provider Identifier
1881456333
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ORCHARD MESA DENTAL P.C.
Practice address
2773 B 1/2 Rd Ste a
Grand Junction, CO 81503-3036
Phone
(970) 257-1103
Fax
(970) 257-7522
NPI assigned
Jan 29, 2024
Last updated
Jan 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Andre Cardoso, DMDNPI 1992321087
Title
Owner
Phone
(801) 471-3690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2773 B 1/2 Rd Ste a
Grand Junction, CO 81503-3036

Mailing address

1422 Blue Creek Ave
Montrose, CO 81401-4302
Phone (801) 471-3690

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1881456333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 BLUE CREEK AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014302",
            "telephone_number": "801-471-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2773 B 1/2 RD STE A",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815033036",
            "telephone_number": "970-257-1103",
            "fax_number": "970-257-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD MESA DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "CARDOSO",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-471-3690",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 29, 2024; 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.