STRIDE CHC - DEL MAR DENTAL CLINIC – NPI #1306483904
Clinic/Center

STRIDE CHC - DEL MAR DENTAL CLINIC is an AHC clinic located in AURORA, CO. NPPES has assigned the NPI number 1306483904 to STRIDE CHC - DEL MAR DENTAL CLINIC on December 03, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “STRIDE CHC - DEL MAR DENTAL CLINIC” is a dba name, the actual legal business name for this organization is METRO COMMUNITY PROVIDER NETWORK, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 6 years ago on Mar 10, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STRIDE CHC - DEL MAR DENTAL CLINIC below.

NPI Profile for
METRO COMMUNITY PROVIDER NETWORK, INC.

NPI Number
1306483904
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
METRO COMMUNITY PROVIDER NETWORK, INC.
Doing Business As (dba): STRIDE CHC - DEL MAR DENTAL CLINIC
Primary location
10680 DEL MAR PKWY
AURORA, CO 80010-4011
Phone: (303) 360-6276 Fax:
Mailing address
2255 S ONEIDA ST
DENVER, CO 80224-2522
Phone: (303) 791-1977 Fax: (303) 343-0247
Organization Subpart
Yes - STRIDE CHC - DEL MAR DENTAL CLINIC is subpart of another organization.
Authorized Official
YOLANDA TREVINO
PATIENT ACCOUNTS BILLING MANAGER
Phone: (303) 761-2153
Updated
Certification Date
Mar 10, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.