Active NPI
Kidz & Family Smiles, PLLC
- Dentist
- La Junta, CO
National Provider Identifier
1194350892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.