NPIMap

Organization Active NPI

Embracekids V a Professional LLC

  • Dental Clinic/Center
  • Denver, CO
National Provider Identifier
1124581665
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EMBRACEKIDS V A PROFESSIONAL LLC
Practice address
2250 S Monaco Pkwy
Denver, CO 80222-5814
Phone
(303) 476-6233
NPI assigned
Apr 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Owen Nieberg
Title
Coo
Phone
(917) 224-8171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2250 S Monaco Pkwy
Denver, CO 80222-5814

Mailing address

5865 E Powers Ave
Greenwood Village, CO 80111-1545
Phone (303) 476-6233

Other practice location 1

2020 Wadsworth Blvd Ste 9
Lakewood, CO 80214-5730
Phone (303) 462-1462

Other practice location 2

15159 E Colfax Ave
Aurora, CO 80011-5705
Phone (303) 341-5437

Other practice location 3

5375 W 38th Ave
Wheat Ridge, CO 80212-7058
Phone (303) 476-6292

National Provider Directory

National Provider Directory
Tax ID family
Embracekids V a Professional LLC3 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

2020 Wadsworth Blvd
Ste 9
Lakewood, CO 80214
Phone (303) 232-0200

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1124581665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 E POWERS AVE",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111545",
            "telephone_number": "303-476-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 S MONACO PKWY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225814",
            "telephone_number": "303-476-6233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Wadsworth Blvd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802145730",
            "country_code": "US",
            "telephone_number": "303-462-1462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15159 E Colfax Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800115705",
            "country_code": "US",
            "telephone_number": "303-341-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5375 W 38th Ave",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "802127058",
            "country_code": "US",
            "telephone_number": "303-476-6292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMBRACEKIDS V A PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "NIEBERG",
        "authorized_official_first_name": "OWEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "917-224-8171"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.