Organization Active NPI

Broadlands Family Dentistry General Partnership

  • Dentist
  • Broomfield, CO
National Provider Identifier
1407270127
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BROADLANDS FAMILY DENTISTRY GENERAL PARTNERSHIP
Practice address
3305 W 144TH Avenue
Unit 100
Broomfield, CO 80023
Phone
(303) 460-8700
Fax
(303) 648-6055
NPI assigned
Feb 17, 2014
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Kendall R Burns, DMDNPI 1366476434
Title
Owner
Phone
(303) 460-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3305 W 144TH Avenue
Unit 100
Broomfield, CO 80023

Mailing address

3305 W 144TH Avenue
Unit 100
Broomfield, CO 80023
Phone (303) 460-8700

National Provider Directory

National Provider Directory

Locations

3305 W 144th Ave
Unit 100
Broomfield, CO 80023
Phone (303) 460-8700

3800 W 144th Ave
Unit 400
Broomfield, CO 80023
Phone (303) 460-8700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1407270127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 W 144TH AVENUE",
            "address_2": "UNIT 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80023",
            "telephone_number": "303-460-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 W 144TH AVENUE",
            "address_2": "UNIT 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80023",
            "telephone_number": "303-460-8700",
            "fax_number": "303-648-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADLANDS FAMILY DENTISTRY GENERAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-460-8700",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.