Organization Active NPI

Commerce City Kids & Family Dental, PLLC

  • General Practice Dentistry
  • Commerce City, CO
National Provider Identifier
1265073233
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COMMERCE CITY KIDS & FAMILY DENTAL, PLLC
Practice address
4972 E 62ND Ave Unit B1
Commerce City, CO 80022-3253
Phone
(303) 288-4969
NPI assigned
Oct 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Authorized official

Name
Sonya Villarreal, DDSNPI 1629164413
Title
Dentist
Phone
(520) 252-9551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4972 E 62ND Ave Unit B1
Commerce City, CO 80022-3253

Mailing address

3825 Pierson CT
Wheat Ridge, CO 80033-3983
Phone (520) 252-9551

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1265073233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 PIERSON CT",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333983",
            "telephone_number": "520-252-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 E 62ND AVE UNIT B1",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223253",
            "telephone_number": "303-288-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMERCE CITY KIDS & FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "520-252-9551",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.