BIG GRINS PC NPI 1912167172

NPI Information

  • NPI: 1912167172
  • Provider Name: BIG GRINS PC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 3221 EASTBROOK DRIVE
    A-101
    FT. COLLINS, CO
    ZIP 80525
  • Phone: (970) 407-1020

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NPI Details

BIG GRINS PC is a pediatric dentistry dentist in Ft. Collins, CO. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. BIG GRINS PC NPI is 1912167172. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3221 EASTBROOK DRIVE
A-101
FT. COLLINS, CO
ZIP 80525
Phone: (970) 407-1020
Fax: (970) 266-8238

The provider's authorized official is Rachel Ecker .
The authorized official title is Owner and has the following contact phone number (970) 407-1020.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 9/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry7679COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
179155260MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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