Organization Active NPI

Lindsey Kawahakui

  • Public Health Dentistry
  • Pueblo, CO
National Provider Identifier
1275308264
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
LINDSEY KAWAHAKUI
Practice address
2047 Columbia Dr
Pueblo, CO 81005-3279
Phone
(719) 566-0206
Fax
(719) 561-1095
NPI assigned
Nov 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Gerlyn Rojas Mora
Title
Office Admin
Phone
(719) 566-0206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

2047 Columbia Dr
Pueblo, CO 81005-3279

Mailing address

2047 Columbia Dr
Pueblo, CO 81005-3279
Phone (719) 566-0206

Other names 1

  • Southern Colorado Family Dental Doing business as

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": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1275308264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 COLUMBIA DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810053279",
            "telephone_number": "719-566-0206",
            "fax_number": "719-561-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 COLUMBIA DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810053279",
            "telephone_number": "719-566-0206",
            "fax_number": "719-561-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSEY KAWAHAKUI",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "ROJAS MORA",
        "authorized_official_first_name": "GERLYN",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "719-566-0206"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Colorado Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Colorado Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.