NPIMap

Organization Active NPI

Embracekids II, LLC

Doing business as Colorado Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Thornton, CO
National Provider Identifier
1154927994
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
EMBRACEKIDS II, LLC
Doing business as
Colorado Orthodontics
Practice address
901 E. 120TH Ave Unit E
Thornton, CO 80233
Phone
(303) 452-0077
Fax
(720) 929-9967
NPI assigned
Dec 8, 2020
Organization subpart
Yes
Parent organization
EMBRACEKIDS II, LLC DBA: COLORADO ORTHODONTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

901 E. 120TH Ave Unit E
Thornton, CO 80233

Mailing address

901 E. 120TH Ave Unit E
Thornton, CO 80233
Phone (303) 452-0077

Other names 1

  • Colorado Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Embracekids II LLC4 organizations share this tax ID, including this one
Part of
Embracekids II LLC

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1154927994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E. 120TH AVE UNIT E",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80233",
            "telephone_number": "303-452-0077",
            "fax_number": "720-929-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E. 120TH AVE UNIT E",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80233",
            "telephone_number": "303-452-0077",
            "fax_number": "720-929-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACEKIDS II, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMBRACEKIDS II, LLC DBA: COLORADO ORTHODONTICS",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "NIEBERG",
        "authorized_official_first_name": "OWEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-224-8171"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.