Active NPI
Big Grins PC
- Pediatric Dentistry
- Fort Collins, CO
National Provider Identifier
1912167172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 7679
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79155260 | Medicaid | CO |
Other names 1
- Gregory D. Evans DDS PC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Dentistry
- Fort Collins, CO
- NPI 1023749660
-
- Pediatric Dentistry
- Fort Collins, CO
- NPI 1215083142
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.