Organization Active NPI

Kidz & Family Smiles, PLLC

  • Dentist
  • La Junta, CO
National Provider Identifier
1194350892
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KIDZ & FAMILY SMILES, PLLC
Practice address
214 Santa Fe Ave
La Junta, CO 81050-1524
Phone
(719) 821-1240
NPI assigned
Mar 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Jenny Alas, DMD
Title
Owner
Phone
(719) 821-1240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

214 Santa Fe Ave
La Junta, CO 81050-1524

Mailing address

12 Purdue St
Pueblo, CO 81005-2018
Phone (719) 821-1240

National Provider Directory

National Provider Directory

Locations

214 Santa Fe Ave
La Junta, CO 81050
Phone (719) 821-1240

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1194350892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PURDUE ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052018",
            "telephone_number": "719-821-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SANTA FE AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810501524",
            "telephone_number": "719-821-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ & FAMILY SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "ALAS",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-821-1240",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Junta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.