Active NPI
A Kidz Dentist
- Pediatric Dentistry
- Steamboat Springs, CO
National Provider Identifier
1366048076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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, 2020
- Organization subpart
- Yes
- Parent organization
- A KIDZ DENTIST
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7535 | Other | CO | COLORADO DENTAL LICENSE |
| 54838576 | Medicaid | CO | |
| 44533063 | Medicaid | CO |
Other names 1
- A Kidz Dentist
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.
-
- Pediatric Dentistry
- Steamboat Springs, CO
- NPI 1417223041
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.