Evergreen Family Dentistry PC

Primary specialty

DentistTaxonomy code 122300000X

License

CO6701 Issued in CO

Legal business name

EVERGREEN FAMILY DENTISTRY PC

Practice address

3720 Evergreen Parkway
Evergreen, CO 80439

Phone

(303) 674-3591

Fax

(303) 674-9650

NPI assigned

Sep 9, 2008

Last updated

Sep 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Troy Allen Fox, DDSNPI 1619978673

Title

Dentist

Phone

(303) 674-3591

Specialties & licenses 1

Addresses

Other names 1

• S Corporation Other name

Practitioners 1

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.

• Troy Allen Fox, DDS

  • Dentist
  • Evergreen, CO
  • NPI 1619978673
  NPD (past) Authorized official

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1942459490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3958",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "80437",
            "telephone_number": "303-674-3591",
            "fax_number": "303-674-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 EVERGREEN PARKWAY",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "80439",
            "telephone_number": "303-674-3591",
            "fax_number": "303-674-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "303-674-3591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "CO6701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelly Carter Evans, M.A.
• Sarah Evans, PT
• Evergreen Counseling and Wellness
• Evergreen Dental Group
• Evergreen Dental Partners LLP (Comfort Dental Evergreen)
• Evergreen Fire Protection District
• Evergreen Fire Protection District
• Evergreen Meadows Family Medical Center
• Evergreen Medical Acupuncture LLC
• Evergreen Operations, LLC (Life Care Center of Evergreen)

• Dentist in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.