Organization Active NPI

Vida Orthodontics

  • Dental Clinic/Center
  • Parker, CO
National Provider Identifier
1023615556
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Krystal Hoversten, DDS, MSNPI 1558606418
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL Laptop

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.