A Kidz Clinic
Organization Active NPI Dental Hygienist · Delta, CO
NPI 1093472268 · NPPES record last updated Aug 2, 2023
Key facts
- NPI
- 1093472268
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Hygienist 124Q00000X
- Legal business name
- A KIDZ CLINIC
- Practice address
- 360 E 8TH St
Delta, CO 81416-2379 - Phone
- (970) 874-2753
- Fax
- (970) 874-2943
- NPI assigned
- Nov 23, 2021
- Organization subpart
- No
Authorized official
- Name
- Diane Dockter
- Title
- Executive Director
- Phone
- (970) 874-2753
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- A Kidz Clinic
Interoperability endpoints
- https://api.platform.athenahealth.com/16255/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | |||
| Dental Hygienist |
124Q00000X | Yes |
Addresses
Primary practice location
360 E 8TH St
Delta, CO 81416-2379
Mailing address
360 E 8TH St
Delta, CO 81416-2379
Phone (970) 874-2753
Other names
- A Kidz Clinic
Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.