Kidzone Therapy Center

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

KIDZONE THERAPY CENTER

Doing business as

KidZone Therapy

Practice address

5335 W. 48TH Ave #500
Denver, CO 80212

Phone

(720) 865-6042

Fax

(720) 704-4946

NPI assigned

Oct 11, 2021

Organization subpart

No

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

Authorized official

Name

Desirae Renee VigilNPI 1407580095

Title

Co-Owner

Phone

(720) 232-7135

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KidZone Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Desirae Renee Vigil, A.P

  • Specialist
  • Thornton, CO
  • NPI 1407580095
  NPD Authorized official

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1245992874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 W. 48TH AVE #500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80212",
            "telephone_number": "720-865-6042",
            "fax_number": "720-704-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 W. 48TH AVE #500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80212",
            "telephone_number": "720-865-6042",
            "fax_number": "720-704-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZONE THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "VIGIL",
        "authorized_official_first_name": "DESIRAE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "720-232-7135"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000197723",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KidZone Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kids in Need of Dentistry
• Kids Life Inc
• Kids Online Therapy Works LLC
• Kids Smiles Dentistry LLC
• Kidscare Therapy of Colorado, LLC
• Joanne Kieckbusch, RN
• Alice Marie Kiefer, RN
• Cole Kiefer
• Gail Kiefer, M.D.
• Katie Kiefer, OTD

• Multi-Specialty Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Multi-Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.