Active NPI
Lindsey Kawahakui
- Public Health Dentistry
- Pueblo, CO
National Provider Identifier
1275308264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Pueblo, CO
- NPI 1821430414
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.