Kids Tooth Doc - Parker

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KIDS TOOTH DOC - PARKER

Practice address

18801 E Mainstreet
Parker, CO 80134-3473

Phone

(303) 947-7705

NPI assigned

Mar 15, 2019

Organization subpart

No

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

Authorized official

Name

Brian Fox

Title

Manager

Phone

(303) 947-7705

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1356800783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18801 E MAINSTREET",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343473",
            "telephone_number": "303-947-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18801 E MAINSTREET",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343473",
            "telephone_number": "303-947-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS TOOTH DOC - PARKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-947-7705"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Kristine Khan, LCSW
• Angela Marie Kibble, M.A.
• Virginia Elaine Kibler, PHD
• Kid's Play Physical Therapy, LLC
• Kids N Joy Therapy LLC
• Yvette L Killingsworth, DDS
• April Kim, LPC, LAC
• Christopher Kim
• Eun Sook Kim
• Hyunha Kim

• Pediatric Dentistry in Parker, CO
• Providers in Parker, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.