OrganizationActive
Family Dentistry
NPI 1104186501 · Public Health or Welfare Agency · Denver, CO
Provider details
- NPI number
- 1104186501
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Collis Johnson, Owner/Dentist(303) 322-1177
- License
- 104176 (CO)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1756 Vine St
Denver, CO 80206-1120
Phone: (303) 322-1177
Fax: (303) 322-1199
Street-level locationGet directions
Mailing address
1756 Vine St
Denver, CO 80206-1120
Registry dates
- Enumerated
- 2012-05-21
- Last updated
- 2012-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.