NPIMap

Organization Active NPI

Ridgeview Pediatric Dentistry PC

  • Dental Clinic/Center
  • Westminster, CO
National Provider Identifier
1417260787
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8289 Issued in CO
Legal business name
RIDGEVIEW PEDIATRIC DENTISTRY PC
Practice address
14697 Delaware St
BLDG. B, Suite #210
Westminster, CO 80023-9178
Phone
(303) 650-0310
Fax
(303) 650-0311
NPI assigned
Jul 15, 2010
Last updated
Jul 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Authorized official

Name
Cara Lynn Mudd, DDS, MSDNPI 1962448191
Title
Owner/Dentist
Phone
(303) 650-0310

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
Dental Clinic/Center 261QD0000X 8289 CO Primary

Addresses

Primary practice location

14697 Delaware St
BLDG. B, Suite #210
Westminster, CO 80023-9178

Mailing address

14697 Delaware St
BLDG. B, Suite #210
Westminster, CO 80023-9178
Phone (303) 650-0310

National Provider Directory

National Provider Directory

Locations

14697 Delaware St
Unit 210
Westminster, CO 80023
Phone (303) 650-0310

Practitioners & affiliated clinicians

Practitioners 5

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": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1417260787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14697 DELAWARE ST",
            "address_2": "BLDG. B, SUITE #210",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239178",
            "telephone_number": "303-650-0310",
            "fax_number": "303-650-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14697 DELAWARE ST",
            "address_2": "BLDG. B, SUITE #210",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239178",
            "telephone_number": "303-650-0310",
            "fax_number": "303-650-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW PEDIATRIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "MUDD",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "303-650-0310",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "8289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.