NPIMap

Organization Active NPI

Cloud Peak Endodontics, P.C.

  • Dental Clinic/Center
  • Sheridan, WY
National Provider Identifier
1972736627
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1087 Issued in WY
Legal business name
CLOUD PEAK ENDODONTICS, P.C.
Practice address
523 Val Vista St
Sheridan, WY 82801-3645
Phone
(307) 672-2580
Fax
(307) 674-9770
NPI assigned
Aug 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Authorized official

Name
Dr. Ted Jeffery Stowe, D.D.S.NPI 1477579993
Title
Owner
Phone
(307) 672-2580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1087 WY Primary

Addresses

Primary practice location

523 Val Vista St
Sheridan, WY 82801-3645

Mailing address

523 Val Vista St
Sheridan, WY 82801-3645
Phone (307) 672-2580

National Provider Directory

National Provider Directory

Locations

523 Val Vista St
Sheridan, WY 82801
Phone (307) 672-2580

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1972736627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 VAL VISTA ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013645",
            "telephone_number": "307-672-2580",
            "fax_number": "307-674-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 VAL VISTA ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013645",
            "telephone_number": "307-672-2580",
            "fax_number": "307-674-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOUD PEAK ENDODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "STOWE",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-672-2580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WY",
            "license": "1087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.