Organization Active NPI

Cdscd Anesthesia

  • Dental Anesthesiology
  • Aurora, CO
National Provider Identifier
1154047918
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
Legal business name
CDSCD ANESTHESIA
Practice address
1111 S Abilene CT
Aurora, CO 80012-4909
Phone
(720) 361-1112
Fax
(720) 306-5397
NPI assigned
Oct 13, 2022
Organization subpart
Yes
Parent organization
CARE DENTAL SURGICAL CENTER OF DENVER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Gary Brandon Kehl
Title
Mangaing Member
Phone
(801) 833-0474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental AnesthesiologyGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0004X Primary

Addresses

Primary practice location

1111 S Abilene CT
Aurora, CO 80012-4909

Mailing address

151 E 5600 S Ste 100
Murray, UT 84107-8139
Phone (801) 833-0515

National Provider Directory

National Provider Directory
Part of
Care Dental Surgical Center of Denver LLC

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1154047918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E 5600 S STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078139",
            "telephone_number": "801-833-0515",
            "fax_number": "801-452-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S ABILENE CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124909",
            "telephone_number": "720-361-1112",
            "fax_number": "720-306-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDSCD ANESTHESIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE DENTAL SURGICAL CENTER OF DENVER LLC",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "KEHL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "MANGAING MEMBER",
        "authorized_official_telephone_number": "801-833-0474"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.