NPIMap

Organization Active NPI

Aurora Pedo Dental, PLLC

Doing business as GRiN Pediatric Dentistry & Orthodontics of Aurora

  • Pediatric Dentistry
  • Aurora, CO
National Provider Identifier
1346969730
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
AURORA PEDO DENTAL, PLLC
Doing business as
GRiN Pediatric Dentistry & Orthodontics of Aurora
Practice address
18801 E Hampden Ave Ste 178
Aurora, CO 80013-3587
Phone
(720) 277-5930
Fax
(720) 241-7811
NPI assigned
Aug 26, 2022
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Colton Flake, DDSNPI 1578879417
Title
Managing Officer
Phone
(720) 579-8855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

18801 E Hampden Ave Ste 178
Aurora, CO 80013-3587

Mailing address

6870 S University Blvd
Centennial, CO 80122-1515
Phone (720) 399-1227

Other names 1

  • GRiN Pediatric Dentistry & Orthodontics of Aurora Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@grinpediatricdentistry.com

National Provider Directory

National Provider Directory

Locations

6870 S University Blvd
Centennial, CO 80122
Phone (720) 277-5930

Interoperability endpoints

  • Direct secure messaging: info@grinpediatricdentistry.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1346969730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6870 S UNIVERSITY BLVD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221515",
            "telephone_number": "720-399-1227",
            "fax_number": "720-241-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18801 E HAMPDEN AVE STE 178",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800133587",
            "telephone_number": "720-277-5930",
            "fax_number": "720-241-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PEDO DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "FLAKE",
        "authorized_official_first_name": "COLTON",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "720-579-8855",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@grinpediatricdentistry.com",
            "affiliation": "N",
            "endpointDescription": "Manager's Email",
            "address_1": "18801 E Hampden Ave Ste 178",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800133587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GRiN Pediatric Dentistry & Orthodontics of Aurora",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GRiN Pediatric Dentistry & Orthodontics of Aurora",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.