Organization Active NPI

Heron Pointe Dental, PLLC

  • General Practice Dentistry
  • Berthoud, CO
National Provider Identifier
1982576534
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HERON POINTE DENTAL, PLLC
Practice address
3510 N Berthoud Parkway
Unit B
Berthoud, CO 80513
Phone
(970) 746-9006
Fax
(970) 746-9005
NPI assigned
Sep 23, 2025
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Dr. Matthew Michael Janda, DDSNPI 1649790452
Title
Manager/Owner
Phone
(970) 571-3417

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

3510 N Berthoud Parkway
Unit B
Berthoud, CO 80513

Mailing address

3510 N Berthoud Parkway
Unit B
Berthoud, CO 80513
Phone (970) 746-9006

National Provider Directory

National Provider Directory

Locations

3510 N Berthoud Pkwy
Unit B
Berthoud, CO 80513
Phone (970) 746-9006

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1982576534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 N BERTHOUD PARKWAY",
            "address_2": "UNIT B",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "80513",
            "telephone_number": "970-746-9006",
            "fax_number": "970-746-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 N BERTHOUD PARKWAY",
            "address_2": "UNIT B",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "80513",
            "telephone_number": "970-746-9006",
            "fax_number": "970-746-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERON POINTE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-06",
        "status": "A",
        "authorized_official_last_name": "JANDA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "970-571-3417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berthoud, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.