NPIMap

Organization Active NPI

Embrace Kids, a Professional LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lakewood, CO
National Provider Identifier
1356947782
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
EMBRACE KIDS, A PROFESSIONAL LLC
Practice address
2020 Wadsworth Blvd Ste 18a
Lakewood, CO 80214-5730
Phone
(303) 462-1462
NPI assigned
Dec 10, 2020
Organization subpart
Yes
Parent organization
EMBRACE KIDS, A PROFESSIONAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Owen Nieberg
Title
Coo
Phone
(303) 476-6233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2020 Wadsworth Blvd Ste 18a
Lakewood, CO 80214-5730

Mailing address

2020 Wadsworth Blvd Ste 18a
Lakewood, CO 80214-5730
Phone (303) 462-1462

National Provider Directory

National Provider Directory
Tax ID family
Embrace Kids a Professional LLC5 organizations share this tax ID, including this one
Part of
Embrace Kids a Professional LLC

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1356947782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WADSWORTH BLVD STE 18A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145730",
            "telephone_number": "303-462-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WADSWORTH BLVD STE 18A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145730",
            "telephone_number": "303-462-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE KIDS, A PROFESSIONAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMBRACE KIDS, A PROFESSIONAL LLC",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "NIEBERG",
        "authorized_official_first_name": "OWEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "303-476-6233"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.