Organization Active NPI

Castle Rock Kids' Dentistry

  • Pediatric Dentistry
  • Castle Rock, CO
National Provider Identifier
1043813462
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CASTLE ROCK KIDS' DENTISTRY
Practice address
2352 Meadows Blvd Ste 200
Castle Rock, CO 80109-8408
Phone
(303) 814-1335
Fax
(720) 733-7561
NPI assigned
Nov 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Mrs. Margaret Otoole
Title
Administrative Assistant
Phone
(303) 814-1335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2352 Meadows Blvd Ste 200
Castle Rock, CO 80109-8408

Mailing address

2352 Meadows Blvd Ste 200
Castle Rock, CO 80109-8408
Phone (303) 814-1335

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@castlerockkidsdentistry.com Direct

National Provider Directory

National Provider Directory

Locations

2352 Meadows Blvd
Ste 200
Castle Rock, CO 80109
Phone (303) 814-1335

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1043813462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 MEADOWS BLVD STE 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098408",
            "telephone_number": "303-814-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 MEADOWS BLVD STE 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098408",
            "telephone_number": "303-814-1335",
            "fax_number": "720-733-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE ROCK KIDS' DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "OTOOLE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "303-814-1335",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@castlerockkidsdentistry.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2352 Meadows Blvd Ste 200",
            "city": "Castle Rock",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801098408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.