Active NPI
Shining Stars Kids Dentistry PC
- General Practice Dentistry
- Lakewood, CO
National Provider Identifier
1306136221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9842
- 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, DDS
- 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.
-
- Dentist
- Lakewood, CO
- NPI 1740429752
National Provider Directory
National Provider DirectoryLocations
6999 W Alaska Dr
Lakewood, CO 80226
Phone (303) 237-2300
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| General Practice Dentistry | 1223G0001X | 9842 | CO | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52024326 | Medicaid | CO |
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.