OrganizationActive
Pediatric Dentistry of the Rockies PLLC
NPI 1144498999 · Pediatric Dentistry · Fort Collins, CO
Pediatric Dentistry of the Rockies PLLC is a Pediatric Dentistry organization in Fort Collins, CO (NPI 1144498999).
Provider details
- NPI number
- 1144498999
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Keith Van Tassell, President/Owner(970) 484-4104
- License
- 9197 (CO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
4609 S Timberline Rd
Suite 103b
Fort Collins, CO 80528-3170
Phone: (970) 484-4104
Fax: (970) 484-5245
Street-level locationGet directions
Mailing address
4609 S Timberline Rd
Fort Collins, CO 80528-3170
Other names (DBA / former)
- Doing business as
- Pediatric Dentistry of the Rockies
- Doing business as
- Pediatric Dentistry of the Rockies
Registry dates
- Enumerated
- 2008-02-14
- Last updated
- 2018-10-23
Frequently asked questions
- What is Pediatric Dentistry of the Rockies PLLC's NPI number?
- Pediatric Dentistry of the Rockies PLLC's National Provider Identifier (NPI) is 1144498999, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dentistry of the Rockies PLLC?
- Pediatric Dentistry of the Rockies PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dentistry of the Rockies PLLC located?
- Pediatric Dentistry of the Rockies PLLC's practice location on file with NPPES is 4609 S Timberline Rd, Fort Collins, CO 80528-3170.
- What is Pediatric Dentistry of the Rockies PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dentistry of the Rockies PLLC is (970) 484-4104.
- Who is the authorized official for Pediatric Dentistry of the Rockies PLLC?
- The authorized official listed on Pediatric Dentistry of the Rockies PLLC's NPPES record is Keith Van Tassell, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dentistry of the Rockies PLLC's NPI active?
- Yes — Pediatric Dentistry of the Rockies PLLC's NPI (1144498999) is active in the NPPES registry as of the last update on 2018-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.