OrganizationActive
Blue Mesa Dental
NPI 1972656403 · Dentist · Englewood, CO
Provider details
- NPI number
- 1972656403
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Marissa Nicholson, Office Manager(720) 489-9800
- License
- 6619 (CO)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
8100 S Quebec St
St a 15
Englewood, CO 80112
Phone: (720) 489-9800
Fax: (720) 489-9813
Street-level locationGet directions
Mailing address
8100 S Quebec St
Englewood, CO 80112
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.