Individual provider Active NPI

Catherine Ann Rayburn, DMD

  • Pediatric Dentistry
  • Englewood, CO
National Provider Identifier
1073290615
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
00206289 Issued in CO
Practice address
125 Inverness Dr E Ste 300
Englewood, CO 80112-5139
Phone
(303) 779-5306
NPI assigned
Jul 4, 2023
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 00206289 CO Primary

Addresses

Primary practice location

125 Inverness Dr E Ste 300
Englewood, CO 80112-5139

Mailing address

11947 Riverstone Cir Unit a
Commerce City, CO 80640-7738
Phone (813) 404-5934

Other practice location 1

2373 Central Park Blvd Unit 305
Denver, CO 80238-2301
Phone (303) 399-5437

Other practice location 2

7375 E 128th Ave
Thornton, CO 80602-8194
Phone (720) 629-9969

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

LicenseStateTypeSpecialty
00206289COMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1688428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1073290615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11947 RIVERSTONE CIR UNIT A",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "806407738",
            "telephone_number": "813-404-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 INVERNESS DR E STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125139",
            "telephone_number": "303-779-5306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2373 Central Park Blvd Unit 305",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802382301",
            "country_code": "US",
            "telephone_number": "303-399-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7375 E 128th Ave",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "806028194",
            "country_code": "US",
            "telephone_number": "720-629-9969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYBURN",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-04",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "00206289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.