Green Mountain Dental Prof. LLC

Primary specialty

DentistTaxonomy code 122300000X

License

105192 Issued in CO

Legal business name

GREEN MOUNTAIN DENTAL PROF. LLC

Practice address

12810 W Alameda Pkwy
Unit a
Lakewood, CO 80228-3116

Phone

(303) 727-9100

Fax

(303) 727-8636

NPI assigned

Sep 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark Edward Klein, DDS

Title

Partner

Phone

(303) 727-9100

Specialties & licenses 1

Addresses

Other names 1

• Comfort Dental Green Mountain Doing business as

Locations

Practitioners 1

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

• Jackson Chien Nguyen, DDS

  • Dentist
  • Lakewood, CO
  • NPI 1841506359
  NPD (past)

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1891003570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 W ALAMEDA PKWY",
            "address_2": "UNIT A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802283116",
            "telephone_number": "303-727-9100",
            "fax_number": "303-727-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 W ALAMEDA PKWY",
            "address_2": "UNIT A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802283116",
            "telephone_number": "303-727-9100",
            "fax_number": "303-727-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN DENTAL PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "303-727-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "105192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Green Mountain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Great Care Company
• Alyssa Leigh Grebe
• Stephanie R Grebliunas, MS, CCC-SLP
• Green Gables Dental LLC
• Green Mountain Counseling LLC
• Green Mountain Neuromonitoring LLC
• Green Mountain Partners for Health PLLC
• Green Mountain Pediatrics
• Jessica Erin Green, RDN
• Scott M. Green, MD

• Dentist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.