NPIMap

Organization Active NPI

Embracekids III, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Denver, CO
National Provider Identifier
1235734740
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
EMBRACEKIDS III, LLC
Practice address
1499 Blake St Suite 1-I
Denver, CO 80202
Phone
(303) 872-2333
Fax
(303) 872-2330
NPI assigned
Dec 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 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: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1499 Blake St Suite 1-I
Denver, CO 80202

Mailing address

1499 Blake St Suite 1-I
Denver, CO 80202
Phone (303) 872-2333

Other names 1

  • LODO Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Embracekids III LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1235734740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 BLAKE ST SUITE 1-I",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80202",
            "telephone_number": "303-872-2333",
            "fax_number": "303-872-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 BLAKE ST SUITE 1-I",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80202",
            "telephone_number": "303-872-2333",
            "fax_number": "303-872-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACEKIDS III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LODO Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.