The Lions Tooth, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

9053 Issued in CO

Legal business name

THE LIONS TOOTH, LLC

Doing business as

Carbon Valley Dental Care

Practice address

630 Main Street
Unit B
Frederick, CO 80530

Phone

(303) 833-5500

NPI assigned

Feb 3, 2009

Last updated

Feb 3, 2009By 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. Richard A Shulze, D.M.D

Title

Owner/Dentist

Phone

(303) 833-5500

Specialties & licenses 1

Addresses

Other names 1

• Carbon Valley Dental Care Doing business as

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1952549636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 REDFIELD CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805019810",
            "telephone_number": "303-833-5500",
            "fax_number": "866-514-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MAIN STREET",
            "address_2": "UNIT B",
            "city": "FREDERICK",
            "state": "CO",
            "postal_code": "80530",
            "telephone_number": "303-833-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIONS TOOTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "SHULZE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "303-833-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "9053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carbon Valley Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Frederick, CO
• Providers in Frederick, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.