PDC Los Ninos LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2924138903 Issued in UT

Legal business name

PDC LOS NINOS LLC

Doing business as

Los Ninos

Practice address

1250 S Sheridan Blvd
Denver, CO 80232-8022

Phone

(303) 777-5437

NPI assigned

Apr 15, 2016

Organization subpart

No

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

Authorized official

Name

Kendall Brent Skinner, DMD

Title

General Dentist

Phone

(303) 777-5437

Specialties & licenses 1

Addresses

Other names 1

• Los Ninos Doing business as

Locations

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1366896318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 N UNIVERSITY PKWY STE 201",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043869",
            "telephone_number": "801-305-3460",
            "fax_number": "801-692-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S SHERIDAN BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802328022",
            "telephone_number": "303-777-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDC LOS NINOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "303-777-5437",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "2924138903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Ninos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Payne, M.D.
• Jennifer Paz, M.ED.,PSY.D.
• Julio Pazmino, PHARMD
• Henrietta Mary Pazos, PSYD
• PBP, LLC
• Lisa G. Peaarl, OTR
• Peach State Medical Practice, PC (Kindbody of CO Medial Practice, PC)
• Keri Peacock
• Peak Family Medicine PC
• Peak Flow LLC

• General Practice Dentistry in Denver, CO
• Providers in Denver, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.