OrganizationActive
Eagleridge Dental
NPI 1487288106 · Dentist · Walsenburg, CO
Eagleridge Dental is a Dentist organization in Walsenburg, CO (NPI 1487288106).
Provider details
- NPI number
- 1487288106
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Charles Wohlwend, Dentist(719) 542-1212
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
104 E 6th St
Walsenburg, CO 81089-2020
Phone: (719) 738-2544
Fax: (719) 738-3747
Street-level locationGet directions
Mailing address
1044 Eagleridge Blvd
Pueblo, CO 81008-2130
Additional practice locations (1)
- 1044 Eagleridge BlvdPueblo, CO 81008-2130Phone: (719) 542-1212Fax: (719) 544-3854
Registry dates
- Enumerated
- 2020-03-03
- Last updated
- 2020-03-03
- Certified
- 2020-03-03
Frequently asked questions
- What is Eagleridge Dental's NPI number?
- Eagleridge Dental's National Provider Identifier (NPI) is 1487288106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagleridge Dental?
- Eagleridge Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Eagleridge Dental located?
- Eagleridge Dental's practice location on file with NPPES is 104 E 6th St, Walsenburg, CO 81089-2020.
- What is Eagleridge Dental's phone number?
- The practice phone number listed in the NPPES registry for Eagleridge Dental is (719) 738-2544.
- Who is the authorized official for Eagleridge Dental?
- The authorized official listed on Eagleridge Dental's NPPES record is Charles Wohlwend, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagleridge Dental's NPI active?
- Yes — Eagleridge Dental's NPI (1487288106) is active in the NPPES registry as of the last update on 2020-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.