Organization Active NPI

Kids Tooth Doc

  • Pediatric Dentistry
  • Highlands Ranch, CO
National Provider Identifier
1124560669
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KIDS TOOTH DOC
Practice address
9358 Dorchester St
Suite 106
Highlands Ranch, CO 80129-2511
Phone
(303) 974-5868
NPI assigned
Nov 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Brian Fox
Title
Manager
Phone
(303) 974-5868

Specialties & licenses 1

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

Addresses

Primary practice location

9358 Dorchester St
Suite 106
Highlands Ranch, CO 80129-2511

Mailing address

5168 S Broadway
Englewood, CO 80113-6706
Phone (303) 974-5868

National Provider Directory

National Provider Directory
Tax ID family
Kids Tooth Doc3 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.

Locations

5168 S Broadway
Englewood, CO 80113
Phone (303) 974-5868

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1124560669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5168 S BROADWAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801136706",
            "telephone_number": "303-974-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9358 DORCHESTER ST",
            "address_2": "SUITE 106",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292511",
            "telephone_number": "303-974-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS TOOTH DOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-974-5868"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.