Signature Colorado Dental Partners LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SIGNATURE COLORADO DENTAL PARTNERS LLC

Doing business as

Denver Place Dentistry
Edward Lacy DDS
Governors Park Dental Group3 more in Other names

Practice address

700 E 9TH Ave Unit 102
Denver, CO 80203-3360

Phone

(303) 832-7789

Fax

(303) 832-0427

NPI assigned

Nov 26, 2018

Organization subpart

Yes

Parent organization

SIGNATURE DENTAL PARTNERS LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Melody Bennion

Title

Director of Integrations

Phone

(480) 234-8490

Specialties & licenses 1

Addresses

Other names 6

• Denver Place Dentistry Doing business as
• Edward Lacy DDS Doing business as
• Governors Park Dental Group Doing business as
• Holistic Dentistry Durango Doing business as
• Mark T Albers DDS Doing business as
• One Stop Dental Doing business as

Part of

Signature Dental Partners LLC

Locations

Practitioners 8

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.

• Chet L. Jenkins, D.D.S.

  • Dentist
  • Mesa, AZ
  • NPI 1750502456
  NPD
• Mark Thomas Albers, D.D.S.

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1417057985
  NPD (past)
• Terry L. Brewick, D.D.S

  • Dentist
  • Denver, CO
  • NPI 1225227044
  NPD (past)
• Kacie Jo Dillow, DDS

  • Dentist
  • Denver, CO
  • NPI 1760050108
  NPD (past)
• Joshua Klein, DDS

  • Dentist
  • Denver, CO
  • NPI 1306487160
  NPD (past)
• Edward James Lacy,Jr., D.D.S.

  • General Practice Dentistry
  • Loveland, CO
  • NPI 1548265192
  NPD (past)
• Gary Michael Radz, D.D.S.

  • General Practice Dentistry
  • Denver, CO
  • NPI 1043361322
  NPD (past)
• Nicholas Torrance, DDS

  • General Practice Dentistry
  • Loveland, CO
  • NPI 1487200812
  NPD (past)

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1992275630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 44TH ST STE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087622",
            "telephone_number": "480-626-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 9TH AVE UNIT 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033360",
            "telephone_number": "303-832-7789",
            "fax_number": "303-832-0427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 W Colorado Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809033338",
            "country_code": "US",
            "telephone_number": "719-315-6852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2155 Hollow Brook Dr Ste 20",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809181455",
            "country_code": "US",
            "telephone_number": "719-634-8458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Mercado St Ste 115",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813017318",
            "country_code": "US",
            "telephone_number": "970-382-7780",
            "fax_number": "970-375-9143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 18th St Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802022453",
            "country_code": "US",
            "telephone_number": "303-298-1414",
            "fax_number": "303-298-8437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Abarr Dr",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805383156",
            "country_code": "US",
            "telephone_number": "970-667-2372",
            "fax_number": "970-635-9737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIGNATURE COLORADO DENTAL PARTNERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIGNATURE DENTAL PARTNERS LLC",
        "enumeration_date": "2018-11-26",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "BENNION",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "DIRECTOR OF INTEGRATIONS",
        "authorized_official_telephone_number": "480-234-8490",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver Place Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edward Lacy DDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edward Lacy DDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Governors Park Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holistic Dentistry Durango",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mark T Albers DDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "One Stop Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Sievers, CMT
• Irena Sigel, O.D.
• Barbara Sigford, MD
• Jessica Lyn Sigler, R.N.
• Ashley Sigmund, RDN, CSR, CLT
• Signature Holdings (Designers Eyewear)
• Signature Music Therapy Services
• Signify Health Medical Associates of Colorado, PLLC.
• Gina Signoracci, PHD
• Heather N Signorelli, D.O.

• Dental Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.