NPIMap

Organization Active NPI

Fountain Dental Center P.C.

  • Dental Clinic/Center
  • Fountain, CO
National Provider Identifier
1922422633
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10691 Issued in CO
Legal business name
FOUNTAIN DENTAL CENTER P.C.
Practice address
8085 Fountain Mesa Rd
Fountain, CO 80817-1591
Phone
(719) 382-5500
Fax
(719) 382-0944
NPI assigned
Feb 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Dr. Kendall B Skinner, DDS
Title
Owner
Phone
(719) 382-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 10691 CO Primary

Addresses

Primary practice location

8085 Fountain Mesa Rd
Fountain, CO 80817-1591

Mailing address

8085 Fountain Mesa Rd
Fountain, CO 80817-1591
Phone (719) 382-5500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1922422633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8085 FOUNTAIN MESA RD",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171591",
            "telephone_number": "719-382-5500",
            "fax_number": "719-382-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8085 FOUNTAIN MESA RD",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171591",
            "telephone_number": "719-382-5500",
            "fax_number": "719-382-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN DENTAL CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-382-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "10691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.