NPIMap

Organization Active NPI

Children'S Dental Center

  • Pediatric Dentistry
  • Lakewood, CO
National Provider Identifier
1215179148
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
104708 Issued in CO
Legal business name
CHILDREN'S DENTAL CENTER
Doing business as
John R Sexton
Practice address
2323 S Wadsworth Blvd
Suite # 104
Lakewood, CO 80227-3275
Phone
(303) 985-0918
Fax
(303) 985-2490
NPI assigned
Mar 24, 2009
Organization subpart
Yes
Parent organization
CHILDREN'S DENTAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Mrs. Valerie Lopez
Title
Manager
Phone
(303) 985-0918

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 104708 CO Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 9060 CO
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 105855 CO

Addresses

Primary practice location

2323 S Wadsworth Blvd
Suite # 104
Lakewood, CO 80227-3275

Mailing address

2323 S Wadsworth Blvd
Suite # 104
Lakewood, CO 80227-3275
Phone (303) 985-0918

Other identifiers 1

IdentifierTypeStateIssuer
04104709MedicaidCO

Other names 1

  • John R Sexton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children'S Dental Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2323 S Wadsworth Blvd
Ste 104
Lakewood, CO 80227
Phone (303) 984-9700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1215179148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S WADSWORTH BLVD",
            "address_2": "SUITE # 104",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802273275",
            "telephone_number": "303-985-0918",
            "fax_number": "303-985-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S WADSWORTH BLVD",
            "address_2": "SUITE # 104",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802273275",
            "telephone_number": "303-985-0918",
            "fax_number": "303-985-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S DENTAL CENTER",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-985-0918",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "104708",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "9060",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "105855",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04104709",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John R Sexton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.