NPIMap

Organization Active NPI

Colorado Kids Pediatric Dentistry

Doing business as Drs. Fox, Waguespack & Norwood

  • Pediatric Dentistry
  • Lone Tree, CO
National Provider Identifier
1407901754
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8330 Issued in CO
Legal business name
COLORADO KIDS PEDIATRIC DENTISTRY
Doing business as
Drs. Fox, Waguespack & Norwood
Practice address
9227 E Lincoln Ave Ste 100
Lone Tree, CO 80124-5504
Phone
(303) 225-4715
Fax
(303) 688-6012
NPI assigned
Jan 25, 2007
Last updated
Jun 23, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COLORADO KIDS PEDIATRIC DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Authorized official

Name
Dr. Lisa Mehelich Fox, DDSNPI 1427078435
Title
Owner/Operator
Phone
(303) 791-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 8330 CO Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 00201980 CO
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 674 CO

Addresses

Primary practice location

9227 E Lincoln Ave Ste 100
Lone Tree, CO 80124-5504

Mailing address

9227 E Lincoln Ave Ste 100
Lone Tree, CO 80124-5504
Phone (303) 225-4715

Other names 1

  • Drs. Fox, Waguespack & Norwood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colorado Kids Pediatric Dentistry LLP2 organizations share this tax ID, including this one
Part of
Colorado Kids Pediatric Dentistry LLP

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1407901754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9227 E LINCOLN AVE STE 100",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245504",
            "telephone_number": "303-225-4715",
            "fax_number": "303-688-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9227 E LINCOLN AVE STE 100",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245504",
            "telephone_number": "303-225-4715",
            "fax_number": "303-688-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO KIDS PEDIATRIC DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO KIDS PEDIATRIC DENTISTRY",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MEHELICH",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "303-791-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "8330",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "00201980",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Fox, Waguespack & Norwood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Drs. Fox, Waguespack & Norwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.