NPIMap

Organization Active NPI

A Kidz Clinic

  • Dental Hygienist
  • Delta, CO
National Provider Identifier
1093472268
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
A KIDZ CLINIC
Doing business as
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
Last updated
Aug 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Diane Dockter
Title
Executive Director
Phone
(970) 874-2753

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X Primary

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 1

  • A Kidz Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Kidz Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16255/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1093472268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 8TH ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162379",
            "telephone_number": "970-874-2753",
            "fax_number": "970-399-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E 8TH ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162379",
            "telephone_number": "970-874-2753",
            "fax_number": "970-874-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A KIDZ CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "DOCKTER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-874-2753"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Kidz Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.