NPIMap

Organization Active NPI

Kids Mile High Pediatric Dentistry and Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Englewood, CO
National Provider Identifier
1306336318
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8538 Issued in CO
Legal business name
KIDS MILE HIGH PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC
Practice address
125 Inverness Dr E Ste 300
Englewood, CO 80112-5139
Phone
(303) 779-5306
NPI assigned
May 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Authorized official

Name
Dr. Justin Michael Owens, DDSNPI 1013161124
Title
Owner/Orthodontist
Phone
(303) 744-1701

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 8538 CO Primary

Addresses

Primary practice location

125 Inverness Dr E Ste 300
Englewood, CO 80112-5139

Mailing address

1780 S Bellaire St Ste 345
Denver, CO 80222-4355
Phone (303) 744-1701

Other practice location 1

2373 Central Park Blvd Unit 305
Denver, CO 80238-2301
Phone (303) 399-5437

National Provider Directory

National Provider Directory

Locations

1780 S Bellaire St
Ste 345
Denver, CO 80222
Phone (303) 744-1701

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": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1306336318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 S BELLAIRE ST STE 345",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224355",
            "telephone_number": "303-744-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 INVERNESS DR E STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125139",
            "telephone_number": "303-779-5306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2373 Central Park Blvd Unit 305",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802382301",
            "country_code": "US",
            "telephone_number": "303-399-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDS MILE HIGH PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "303-744-1701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "8538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.