Signal Tree Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SIGNAL TREE FAMILY DENTAL PLLC

Practice address

4650 Signal Tree Dr # A1800
Timnath, CO 80547-4908

Phone

(970) 449-0306

NPI assigned

Mar 21, 2024

Last updated

Mar 21, 2024By 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. Brock Booton, DDSNPI 1699194316

Title

Owner

Phone

(970) 449-0306

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Signal Tree Family Dental 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.

• Brock Booton, DDS

  • Dentist
  • Timnath, CO
  • NPI 1699194316

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1982464392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 SIGNAL TREE DR # A1800",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805474908",
            "telephone_number": "970-449-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 SIGNAL TREE DR # A1800",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805474908",
            "telephone_number": "970-449-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNAL TREE FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "BOOTON",
        "authorized_official_first_name": "BROCK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-449-0306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699194316",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signal Tree Family Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erica L. Roesch, NP
• Rose Counseling Services
• Shannon Salerno, MD
• Angelina Marie Sciacca, MOT, OTR/L
• Signal Tree Family Dental PLLC
• Elizabeth L Sommerfeld, DO
• Kenneth Spencer Steffen, DC
• Danielle Renie Street, R.D.
• Summit Therapy Group LLC
• Summit Therapy Group LLC

• General Practice Dentistry in Timnath, CO
• Providers in Timnath, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.