Imagine Braces

LBN: Johnson Orthodontics
Imagine Braces is an health care organization with primary practice located at 6620 Camden Blvd , Fountain CO 80817-2505. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Johnson Orthodontics can be contacted via phone (719) 631-6649, or through Johnson, Warren via phone (719) 432-9807.

Contact Information

Primary practice address
6620 Camden Blvd Fountain CO 80817-2505
Phone: (719) 631-6649
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Warren Doctor of Dental Surgery (DDS)
Phone: (719) 432-9807

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1477188407
LBN Legal business name Johnson Orthodontics
DBA Doing business as Imagine Braces
Authorized official Johnson, Warren Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2020
Last updated Aug 5th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477188407 NPPES
Colorado MEDICAID 1223X0400X

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