NPIMap

Organization Active NPI

Kids and Family Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Denver, CO
National Provider Identifier
1245828474
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
KIDS AND FAMILY ORTHODONTICS
Practice address
1490 S Sheridan Blvd Unit 102
Denver, CO 80232-8006
Phone
(303) 495-2801
NPI assigned
Jan 4, 2021
Organization subpart
Yes
Parent organization
KIDS AND FAMILY ORTHODONTICS,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Roger Bumgarner, DDS
Title
Owner
Phone
(303) 495-2801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1490 S Sheridan Blvd Unit 102
Denver, CO 80232-8006

Mailing address

1490 S Sheridan Blvd Unit 102
Denver, CO 80232-8006

National Provider Directory

National Provider Directory
Tax ID family
Kids and Family Orthodontics4 organizations share this tax ID, including this one
Part of
Kids and Family Orthodonticsllc

Other organizations with this tax ID 3

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

Locations

1490 S Sheridan Blvd
Unit 102
Denver, CO 80232
Phone (303) 222-1414

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": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1245828474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 S SHERIDAN BLVD UNIT 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802328006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 S SHERIDAN BLVD UNIT 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802328006",
            "telephone_number": "303-495-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS AND FAMILY ORTHODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDS AND FAMILY ORTHODONTICS,LLC",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "BUMGARNER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-495-2801",
        "authorized_official_credential": "DDS"
    },
    "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": []
}

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 Jan 4, 2021; 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.