Organization Active NPI

Shining Stars Kids Dentistry PC

  • General Practice Dentistry
  • Lakewood, CO
National Provider Identifier
1306136221
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9842 Issued in CO
Legal business name
SHINING STARS KIDS DENTISTRY PC
Practice address
6999 W. Alaska Dr.
Lakewood, CO 80226
Phone
(303) 237-2300
Fax
(303) 237-4880
NPI assigned
Apr 12, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Lawrence Musanje, DDSNPI 1740429752
Title
Dentist/Owner
Phone
(303) 237-2300

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

Practitioners 2

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

National Provider Directory

National Provider Directory

Locations

6999 W Alaska Dr
Lakewood, CO 80226
Phone (303) 237-2300

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 9842 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

6999 W. Alaska Dr.
Lakewood, CO 80226

Mailing address

6999 W. Alaska Dr.
Lakewood, CO 80226
Phone (303) 237-2300

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
52024326MedicaidCO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 10, 2013.

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1306136221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6999 W. ALASKA DR.",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80226",
            "telephone_number": "303-237-2300",
            "fax_number": "303-237-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6999 W. ALASKA DR.",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80226",
            "telephone_number": "303-237-2300",
            "fax_number": "303-237-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STARS KIDS DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "MUSANJE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "303-237-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52024326",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.