MEDICARE: ASCEND GROUP, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1396379012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCEND GROUP, PLLC

Provider Business Mailing Address
First Line	:	517 176TH AVE
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80023-5217
Country	:	US
Telephone Number	:	517-881-0105
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 W EISENHOWER BLVD STE 100
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80537-3108
Country	:	US
Telephone Number	:	517-881-0105
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CARLY WARDEN
Credential	:
Telephone Number	:	248-245-4716

Provider Enumeration Date	:	03/03/2020
Last Update Date	:	04/13/2026

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