Organization Active NPI

Kylee Brightside DDS PLLC

  • Dentist
  • Castle Rock, CO
National Provider Identifier
1245887488
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KYLEE BRIGHTSIDE DDS PLLC
Practice address
1161 S Perry St Ste B100
Castle Rock, CO 80104-1978
Phone
(720) 799-1445
NPI assigned
Aug 22, 2019
Last updated
Aug 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Kylee Brightside, DDSNPI 1740625730
Title
Owner
Phone
(720) 799-1445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1161 S Perry St Ste B100
Castle Rock, CO 80104-1978

Mailing address

1161 S Perry St Ste B100
Castle Rock, CO 80104-1978
Phone (720) 799-1445

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@brightsidedentistry.net

National Provider Directory

National Provider Directory

Locations

1161 S Perry St
Ste B100
Castle Rock, CO 80104
Phone (720) 799-1445

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1245887488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 S PERRY ST STE B100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041978",
            "telephone_number": "720-799-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 S PERRY ST STE B100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041978",
            "telephone_number": "720-799-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLEE BRIGHTSIDE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIGHTSIDE",
        "authorized_official_first_name": "KYLEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-799-1445",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@brightsidedentistry.net",
            "affiliation": "N",
            "address_1": "1161 S Perry St Ste B100",
            "city": "Castle Rock",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801041978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.