Active NPI
Kira Unger Douglas, DMD
- Dental Anesthesiology
- Golden, CO
National Provider Identifier
1316594740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- DEN00205847
- Practice address
- 811 Brickyard Cir
Golden, CO 80403-8058 - Phone
- (720) 251-4667
- NPI assigned
- Aug 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | DEN00205847 | CO | Primary |
| Dentist | 122300000X | 60970413 | WA |
Addresses
Primary practice location
811 Brickyard Cir
Golden, CO 80403-8058
Mailing address
3835 Telluride PL
Boulder, CO 80305-7219
Phone (303) 945-6258
Other practice location 1
2 S 56th Pl Ste 202
Ridgefield, WA 98642-3427
Phone (360) 887-1177
Other practice location 2
200 Lothrop St
Pittsburgh, PA 15213-2536
Phone (412) 647-2345
Other practice location 3
3501 Terrace St G-89 Salk Hall
Pittsburgh, PA 15261-2536
Phone (412) 648-8609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60970413 | WA | MD | Dentist |
| DEN00205847 | CO | MD | Dentist Anesthesiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1316594740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 TELLURIDE PL",
"city": "BOULDER",
"state": "CO",
"postal_code": "803057219",
"telephone_number": "303-945-6258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 BRICKYARD CIR",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804038058",
"telephone_number": "720-251-4667"
}
],
"practiceLocations": [
{
"address_1": "2 S 56th Pl Ste 202",
"address_purpose": "LOCATION",
"city": "Ridgefield",
"state": "WA",
"postal_code": "986423427",
"country_code": "US",
"telephone_number": "360-887-1177",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Lothrop St",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152132536",
"country_code": "US",
"telephone_number": "412-647-2345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3501 Terrace St G-89 Salk Hall",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152612536",
"country_code": "US",
"telephone_number": "412-648-8609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUGLAS",
"first_name": "KIRA",
"middle_name": "UNGER",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "CO",
"license": "DEN00205847",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "60970413",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.