Active NPI
Comfortdental
- Dentist
- Glenwood Springs, CO
National Provider Identifier
1962770446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9296
- Legal business name
- COMFORTDENTAL
- Practice address
- 1512 Grand Ave
Glenwood Springs, CO 81601-3861 - Phone
- (970) 947-1273
- Fax
- (970) 928-0741
- NPI assigned
- Dec 12, 2011
- 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
- Ben C Thornal
- Title
- Dentist
- Phone
- (970) 947-1273
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8849 | CO | |
| Dentist | 122300000X | 9089 | CO | |
| Dentist | 122300000X | 9296 | CO | Primary |
| Dentist | 122300000X | 10199 | CO |
Addresses
Primary practice location
1512 Grand Ave
Glenwood Springs, CO 81601-3861
Mailing address
1512 Grand Ave
Glenwood Springs, CO 81601-3861
Phone (970) 947-1273
National Provider Directory
National Provider Directory- Tax ID family
- Comfort Dental - Glenwood Springs
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Glenwood Springs, CO
- NPI 1275702268
Locations
1512 Grand Ave
Glenwood Springs, CO 81601
Phone (970) 945-2588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323648000000",
"number": "1962770446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 GRAND AVE",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816013861",
"telephone_number": "970-947-1273",
"fax_number": "970-928-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 GRAND AVE",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816013861",
"telephone_number": "970-947-1273",
"fax_number": "970-928-0741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMFORTDENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A",
"authorized_official_last_name": "THORNAL",
"authorized_official_first_name": "BEN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "970-947-1273"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CO",
"license": "8849",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CO",
"license": "9089",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CO",
"license": "9296",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CO",
"license": "10199",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenwood Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.