Organization Active NPI

A Kidz Dentist

  • Pediatric Dentistry
  • Steamboat Springs, CO
National Provider Identifier
1366048076
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
A KIDZ DENTIST
Doing business as
A Kidz Dentist
Practice address
1560 Pine Grove Rd Ste C
Steamboat Springs, CO 80487-8004
Phone
(970) 879-7976
NPI assigned
Dec 8, 2020
Last updated
Dec 8, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
A KIDZ DENTISTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Lisa Hank Salyer, DMD
Title
Owner
Phone
(970) 879-7976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

1560 Pine Grove Rd Ste C
Steamboat Springs, CO 80487-8004

Mailing address

1560 Pine Grove Rd Ste C
Steamboat Springs, CO 80487-8004
Phone (970) 879-7976

Other identifiers 3

IdentifierTypeStateIssuer
7535OtherCOCOLORADO DENTAL LICENSE
54838576MedicaidCO
44533063MedicaidCO

Other names 1

  • A Kidz Dentist Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL STEAMBOAT Other

National Provider Directory

National Provider Directory
Part of
A Kidz Dentist

Locations

1560 Pine Grove Rd
Ste C
Steamboat Springs, CO 80487
Phone (970) 879-7976

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1366048076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 PINE GROVE RD STE C",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878004",
            "telephone_number": "970-879-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 PINE GROVE RD STE C",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878004",
            "telephone_number": "970-879-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A KIDZ DENTIST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A KIDZ DENTIST",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "SALYER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "HANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-879-7976",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DENTAL LICENSE",
            "identifier": "7535",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54838576",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44533063",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "STEAMBOAT",
            "affiliation": "N",
            "endpointDescription": "info@akidzdentist.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "STEAMBOAT",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "STEAMBOAT",
            "address_1": "1560 Pine Grove Rd Ste C",
            "city": "Steamboat Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804878004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "A Kidz Dentist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Kidz Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Steamboat Springs, CO

Sources for this page

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