Medicaid Dental Home
NPI 1336570167 · Public Health Dentistry · Colorado Springs, CO
Medicaid Dental Home is a Public Health Dentistry organization in Colorado Springs, CO (NPI 1336570167).
Provider details
- NPI number
- 1336570167
- Entity type
- Organization
- Primary specialty
- Public Health DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michelle Vacha, Executive Director(719) 338-2195
- License
- 903783 (CO)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2013-12-04
- Last updated
- 2013-12-04
Frequently asked questions
- What is Medicaid Dental Home's NPI number?
- Medicaid Dental Home's National Provider Identifier (NPI) is 1336570167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medicaid Dental Home?
- Medicaid Dental Home is classified in the NPPES registry as Public Health Dentistry (Dental Providers).
- Where is Medicaid Dental Home located?
- Medicaid Dental Home's practice location on file with NPPES is 2125 E La Salle St, Colorado Springs, CO 80909-2274.
- What is Medicaid Dental Home's phone number?
- The practice phone number listed in the NPPES registry for Medicaid Dental Home is (719) 310-3315.
- Who is the authorized official for Medicaid Dental Home?
- The authorized official listed on Medicaid Dental Home's NPPES record is Michelle Vacha, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medicaid Dental Home's NPI active?
- Yes — Medicaid Dental Home's NPI (1336570167) is active in the NPPES registry as of the last update on 2013-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.