Fort Collins Dentist Family & Implant Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FORT COLLINS DENTIST FAMILY & IMPLANT DENTISTRY PLLC

Practice address

2001 S Shields St. Building L
Fort Collins, CO 80526-1489

Phone

(970) 221-5115

Fax

(970) 221-5136

NPI assigned

Dec 2, 2016

Organization subpart

No

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

Authorized official

Name

Allison Marie Lesko, DDSNPI 1679764021

Title

Owner Dentist

Phone

(970) 221-5115

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

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

• Allison Marie Lesko, D.D.S.

  • General Practice Dentistry
  • Fort Collins, CO
  • NPI 1679764021
  NPD Authorized official
• Thomas Richard Pixley, DDS

  • Dentist
  • Ft Collins, CO
  • NPI 1376681890
  NPD (past)

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1891238283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST BUILDING L",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261489",
            "telephone_number": "970-221-5115",
            "fax_number": "970-221-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST. BUILDING L",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261489",
            "telephone_number": "970-221-5115",
            "fax_number": "970-221-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT COLLINS DENTIST FAMILY & IMPLANT DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "LESKO",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "970-221-5115",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Forstner, LPC
• Fort Collins Community Clinic LLC
• Fort Collins Consultants in Pathology PC
• Fort Collins Counseling Services PLLC
• Fort Collins Dental Group, LLP
• Fort Collins Family Acupuncture
• Fort Collins Family Care
• Fort Collins Family Eye Care
• Fort Collins Family Physicians Professional LLC
• Fort Collins Functional Movement Institute

• Dentist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.