Active NPI
Joesolyn Marcia Calderon-Kidd, DMD
- General Practice Dentistry
- Lakewood, CO
National Provider Identifier
1063558724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7524
- Practice address
- 3200 S Wadsworth Blvd Unit E
Lakewood, CO 80227-5010 - Phone
- (303) 716-8546
- Fax
- (303) 984-0657
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7524 | CO | Primary |
Addresses
Primary practice location
3200 S Wadsworth Blvd Unit E
Lakewood, CO 80227-5010
Mailing address
5375 S Otis CT
Denver, CO 80123-0676
Phone (303) 738-3108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7524 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bearcreek Dental Partners LLP | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Comfort Dental Bearcreek
- General Practice Dentistry
- Lakewood, CO
- NPI 1568669281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1063558724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5375 S OTIS CT",
"city": "DENVER",
"state": "CO",
"postal_code": "801230676",
"telephone_number": "303-738-3108",
"fax_number": "303-738-3108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 S WADSWORTH BLVD UNIT E",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802275010",
"telephone_number": "303-716-8546",
"fax_number": "303-984-0657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON-KIDD",
"first_name": "JOESOLYN",
"middle_name": "MARCIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "7524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.