Active NPI
Cdscd Anesthesia
- Dental Anesthesiology
- Aurora, CO
National Provider Identifier
1154047918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 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.