Active NPI
Vida Orthodontics
- Dental Clinic/Center
- Parker, CO
National Provider Identifier
1023615556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- VIDA ORTHODONTICS
- Practice address
- 19551 Hess Rd Unit 110
Parker, CO 80134-3446 - Phone
- (701) 426-0938
- NPI assigned
- Oct 7, 2020
- Last updated
- Oct 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Krystal Hoversten, DDS, MS
- Title
- Orthodontist
- Phone
- (701) 426-0938
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
19551 Hess Rd Unit 110
Parker, CO 80134-3446
Mailing address
4519 W 37TH PL
Denver, CO 80212-2395
Phone (701) 426-0938
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Laptop |
National Provider Directory
National Provider DirectoryLocations
19551 Hess Rd
Unit 110
Parker, CO 80134
Phone (303) 841-7900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lakewood, CO
- NPI 1558606418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602028800000",
"number": "1023615556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4519 W 37TH PL",
"city": "DENVER",
"state": "CO",
"postal_code": "802122395",
"telephone_number": "701-426-0938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19551 HESS RD UNIT 110",
"city": "PARKER",
"state": "CO",
"postal_code": "801343446",
"telephone_number": "701-426-0938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIDA ORTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-07",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A",
"authorized_official_last_name": "HOVERSTEN",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_title_or_position": "ORTHODONTIST",
"authorized_official_telephone_number": "701-426-0938",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Laptop",
"affiliation": "N",
"address_1": "4519 W 37th Pl",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802122395",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.