Organization Active NPI

Kids First Dental, LLC

  • Dental Clinic/Center
  • Highlands Ranch, CO
National Provider Identifier
1295092955
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
9758 Issued in CO
Legal business name
KIDS FIRST DENTAL, LLC
Practice address
9362 S Colorado Blvd Unit D14
Highlands Ranch, CO 80126-5207
Phone
(303) 427-6300
Fax
(720) 344-2663
NPI assigned
Apr 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Yolanda Short, D.M.D.
Title
Owner
Phone
(303) 427-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 9758 CO Primary

Addresses

Primary practice location

9362 S Colorado Blvd Unit D14
Highlands Ranch, CO 80126-5207

Mailing address

9362 S Colorado Blvd Unit D14
Highlands Ranch, CO 80126-5207
Phone (303) 427-6300

Other identifiers 1

IdentifierTypeStateIssuer
56201346MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1295092955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9362 S COLORADO BLVD UNIT D14",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265207",
            "telephone_number": "303-427-6300",
            "fax_number": "720-344-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9362 S COLORADO BLVD UNIT D14",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265207",
            "telephone_number": "303-427-6300",
            "fax_number": "720-344-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FIRST DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-427-6300",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "9758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56201346",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.