Care Dental Surgical Center of Denver LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

CARE DENTAL SURGICAL CENTER OF DENVER LLC

Practice address

1111 S Abilene CT
Aurora, CO 80012-4909

Phone

(720) 361-1112

NPI assigned

Dec 21, 2020

Organization subpart

Yes

Parent organization

THE CARE GROUPAs reported in NPPES

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

Authorized official

Name

Brandon Kehl

Title

Owner

Phone

(801) 833-0474

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Care Dental Surgical Center of Denver LLC

  • Ambulatory Surgical Clinic/Center
  • Aurora, CO
  • NPI 1366064032

  O20210301000778

  Same enrollment

Tax ID family

Care Dental Surgical Center of Denver LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Care Dental Surgical Center of Denver LLC

  • Ambulatory Surgical Clinic/Center
  • Aurora, CO
  • NPI 1366064032
  NPD tax ID

Practitioners 1

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

• Timothy Allen Moore, CRNA

  • Certified Registered Nurse Anesthetist
  • Castle Rock, CO
  • NPI 1407293699
  NPD

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1316534688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E 5600 S STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078139",
            "telephone_number": "801-833-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S ABILENE CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124909",
            "telephone_number": "720-361-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE DENTAL SURGICAL CENTER OF DENVER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CARE GROUP",
        "enumeration_date": "2020-12-21",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "KEHL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-833-0474"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haydee Ivonne Cardoza
• Care and Community LLC
• Care at Home, Inc.
• Care Colorado LLC
• Care Connect Transport LLC
• Care Dental Surgical Center of Denver LLC
• Care Group PC
• Care of Souls LLC
• Care on Call Colorado, LLC
• Care Plus Agency, Inc

• Anesthesiology Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.