Pediatric Dental Group Managment

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTAL GROUP MANAGMENT

Practice address

7975 Allison Way
Arvada, CO 80005-4428

Phone

(303) 421-5437

NPI assigned

Feb 21, 2017

Organization subpart

No

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

Authorized official

Name

Kristen Barden

Title

Practice Manager

Phone

(303) 421-5437

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pediatric Dental Group of Colorado Other name

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1407395619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 ALLISON WAY",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800054428",
            "telephone_number": "303-421-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 ALLISON WAY",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800054428",
            "telephone_number": "303-421-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL GROUP MANAGMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "BARDEN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "303-421-5437"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02078434",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dental Group of Colorado",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Peak to Peak Family Practice & Sports Medicine Inc.
• Peak Wellness Chiropractic
• Kali Pearson, RDN
• Marcella Rae Pearson, PA-C
• Kenneth M Pedersen, R.PH.
• Pediatric Dental Group of Arvada PC
• Pediatric Therapy of Colorado LLC
• Nicole Pedraza, HIS
• Carmen Peebles
• Paulina Pei, OTR/L

• Pediatric Dentistry in Arvada, CO
• Providers in Arvada, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.