NPIMap

Organization Active NPI

Green Mountain Dental Prof. LLC

Doing business as Comfort Dental Green Mountain

  • Dentist
  • Lakewood, CO
National Provider Identifier
1891003570
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
105192 Issued in CO
Legal business name
GREEN MOUNTAIN DENTAL PROF. LLC
Doing business as
Comfort Dental Green Mountain
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
Last updated
Sep 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Dr. Mark Edward Klein, DDSNPI 1467542373
Title
Partner
Phone
(303) 727-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 105192 CO Primary

Addresses

Primary practice location

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

Mailing address

12810 W Alameda Pkwy
Unit a
Lakewood, CO 80228-3116
Phone (303) 727-9100

Other names 1

  • Comfort Dental Green Mountain Doing business as

National Provider Directory

National Provider Directory

Locations

12810 W Alameda Pkwy
Unit A
Lakewood, CO 80228
Phone (303) 727-9100

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": "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"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • 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.