NPIMap

Organization Active NPI

Care Dental Surgical Center of Denver LLC

  • Ambulatory Surgical Clinic/Center
  • Aurora, CO
National Provider Identifier
1366064032
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CARE DENTAL SURGICAL CENTER OF DENVER LLC
Practice address
1111 S Abilene CT
Aurora, CO 80012-4909
Phone
(801) 833-0515
NPI assigned
May 15, 2020
Organization subpart
Yes
Parent organization
THE CARE GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Brandon Kehl
Title
Owner
Phone
(801) 833-0474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1111 S Abilene CT
Aurora, CO 80012-4909

Mailing address

151 E 5600 S Ste 100
Murray, UT 84107-8139
Phone (801) 833-0449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210301000778 CO Part B Supplier - Ambulatory Surgical Center 2769898659 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Aurora, CO

Ambulatory surgical center certification: CCN 06C0001186

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CARE DENTAL SURGICAL CENTER OF DENVER LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jul 9, 2021
Last certification
Jul 9, 2021
Ownership / control type
Proprietary
Facility address
1111 S Abilene CT
Aurora, CO 80012

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Care Dental Surgical Center of Denver LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

151 E 5600 S
Ste 100
Salt Lake City, UT 84107
Phone (801) 833-0449

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1366064032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E 5600 S STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078139",
            "telephone_number": "801-833-0449",
            "fax_number": "801-453-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S ABILENE CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124909",
            "telephone_number": "801-833-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE DENTAL SURGICAL CENTER OF DENVER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CARE GROUP LLC",
        "enumeration_date": "2020-05-15",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "KEHL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-833-0474"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.