Organization Active NPI

Vail Valley LLC

Doing business as dba comfort dental vail valley

  • Dentist
  • Avon, CO
National Provider Identifier
1992133052
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VAIL VALLEY LLC
Doing business as
dba comfort dental vail valley
Practice address
0101 Fawcett Rd
Unit 170
Avon, CO 81620
Phone
(303) 350-0003
NPI assigned
Oct 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Authorized official

Name
Dr. David Lindman, DDS
Title
Owner/Partner
Phone
(303) 350-0003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

0101 Fawcett Rd
Unit 170
Avon, CO 81620

Mailing address

0101 Fawcett Rd
Unit 170
Avon, CO 81620
Phone (303) 350-0003

Other names 1

  • dba comfort dental vail valley Doing business as

National Provider Directory

National Provider Directory

Locations

101 Fawcett Rd
Unit 170
Avon, CO 81620
Phone (303) 350-0003

NPI Registry JSON

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1992133052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0101 FAWCETT RD",
            "address_2": "UNIT 170",
            "city": "AVON",
            "state": "CO",
            "postal_code": "81620",
            "telephone_number": "303-350-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0101 FAWCETT RD",
            "address_2": "UNIT 170",
            "city": "AVON",
            "state": "CO",
            "postal_code": "81620",
            "telephone_number": "303-350-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "LINDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "303-350-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba comfort dental vail valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.