NPIMap

Organization Active NPI

Colorado Comfort Kids Dentistry PLLC

Doing business as Comfort Dental Kids

  • Pediatric Dentistry
  • Longmont, CO
National Provider Identifier
1407546997
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
COLORADO COMFORT KIDS DENTISTRY PLLC
Doing business as
Comfort Dental Kids
Practice address
700 Ken Pratt Blvd Ste 208
Longmont, CO 80501-6455
Phone
(720) 853-2355
NPI assigned
May 9, 2023
Last updated
May 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Gregory Raymond Werner, DDS, MS
Title
Owner
Phone
(720) 853-2355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

700 Ken Pratt Blvd Ste 208
Longmont, CO 80501-6455

Mailing address

700 Ken Pratt Blvd Ste 208
Longmont, CO 80501-6455
Phone (720) 853-2355

Other names 1

  • Comfort Dental Kids Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colorado Comfort Kids Dentistry PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

700 Ken Pratt Blvd
Ste 208
Longmont, CO 80501
Phone (720) 833-5550

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1407546997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 KEN PRATT BLVD STE 208",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016455",
            "telephone_number": "720-853-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 KEN PRATT BLVD STE 208",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016455",
            "telephone_number": "720-853-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO COMFORT KIDS DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-853-2355",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Kids",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comfort Dental Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.