Kelly S Last, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9378 Issued in CO

Practice address

3092 Evergreen Pkwy
#100
Evergreen, CO 80439-7849

Phone

(303) 674-6264

NPI assigned

Jun 19, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elevation Health, LLC

  • Orthopedic Physical Therapist
  • Evergreen, CO
  • NPI 1457963183
  NPD Authorized official
• Kelly S. Last DDS PC

  • Dental Clinic/Center
  • Evergreen, CO
  • NPI 1992490981
  NPD Authorized official

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1184851867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3092 EVERGREEN PKWY",
            "address_2": "#100",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397849",
            "telephone_number": "303-674-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3092 EVERGREEN PKWY",
            "address_2": "#100",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397849",
            "telephone_number": "303-674-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAST",
        "first_name": "KELLY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratory Corporation of America
• Chiu Mei Lai, DC
• Victoria Lamanna, DPT
• Jennifer Louise Larson, PHARMD
• Michael Joe Larson, D.D.S.
• Alicia Rae Laughrun
• Elizabeth Laurice
• Susan Leblanc, DC
• Yu Rhy Lee
• Andrew Leifer, M.D.

• Dentist in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.