Individual provider Active NPI

Kim Lee Kuhlke, DDS MS

  • Dentist
  • Englewood, CO
National Provider Identifier
1255433488
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
CO00838 Issued in CO
Practice address
3601 S Clarkson St
#400
Englewood, CO 80113
Phone
(303) 789-2020
Fax
(303) 789-4640
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X CO00838 CO Primary

Addresses

Primary practice location

3601 S Clarkson St
#400
Englewood, CO 80113

Mailing address

3601 S Clarkson St
#400
Englewood, CO 80113
Phone (303) 789-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CO00838COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255433488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST",
            "address_2": "#400",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "80113",
            "telephone_number": "303-789-2020",
            "fax_number": "303-789-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST",
            "address_2": "#400",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "80113",
            "telephone_number": "303-789-2020",
            "fax_number": "303-789-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHLKE",
        "first_name": "KIM",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "CO00838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.