Organization Active NPI

Big Grins PC

  • Pediatric Dentistry
  • Fort Collins, CO
National Provider Identifier
1912167172
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7679 Issued in CO
Legal business name
BIG GRINS PC
Practice address
3221 Eastbrook Drive
A-101
Ft. Collins, CO 80525
Phone
(970) 407-1020
Fax
(970) 266-8238
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Rachel Ecker, DMD
Title
Owner
Phone
(970) 407-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 7679 CO Primary

Addresses

Primary practice location

3221 Eastbrook Drive
A-101
Ft. Collins, CO 80525

Mailing address

3221 Eastbrook Dr.
A-101
Ft. Collins, CO 80525
Phone (970) 407-1020

Other identifiers 1

IdentifierTypeStateIssuer
79155260MedicaidCO

Other names 1

  • Gregory D. Evans DDS PC Former legal business name

National Provider Directory

National Provider Directory

Locations

3221 Eastbrook Dr
Ste A-101
Fort Collins, CO 80525
Phone (970) 407-1020

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1912167172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 EASTBROOK DR.",
            "address_2": "A-101",
            "city": "FT. COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-407-1020",
            "fax_number": "970-266-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 EASTBROOK DRIVE",
            "address_2": "A-101",
            "city": "FT. COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-407-1020",
            "fax_number": "970-266-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG GRINS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "ECKER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-407-1020",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "7679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79155260",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gregory D. Evans DDS PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.