Embracekids IV, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

EMBRACEKIDS IV, LLC

Doing business as

Colorado Orthodontics

Practice address

9385 S. Colorado Blvd Suite 101
Highlands Ranch, CO 80126

Phone

(303) 791-6646

Fax

(303) 683-6496

NPI assigned

Dec 8, 2020

Last updated

Dec 8, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

EMBRACEKIDS IV, LLC DBA: COLORADO ORTHODONTICSAs reported in NPPES

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

Authorized official

Name

Owen Nieberg

Title

Ceo

Phone

(917) 224-8171

Specialties & licenses 1

Addresses

Other names 1

• Colorado Orthodontics Doing business as

Tax ID family

Embracekids IV LLC2 organizations share this tax ID, including this one

Part of

Embracekids IV LLC

Other organizations with this tax ID 1

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

• Embracekids IV, LLC

  dba Colorado Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Highlands Ranch, CO
  • NPI 1962977835
  NPD tax ID

Locations

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1427654268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9385 S. COLORADO BLVD SUITE 101",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80126",
            "telephone_number": "303-791-6646",
            "fax_number": "303-683-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9385 S. COLORADO BLVD SUITE 101",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80126",
            "telephone_number": "303-791-6646",
            "fax_number": "303-683-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACEKIDS IV, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMBRACEKIDS IV, LLC DBA: COLORADO ORTHODONTICS",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "NIEBERG",
        "authorized_official_first_name": "OWEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-224-8171"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra A Ellis, PT,CHT
• Rachel Lynn Ellis
• Cassandra Lee Elston
• Lawrence C. Elwell, D.C.
• Jody Ann Elzey, MT
• Embracekids IV, LLC (Colorado Orthodontics)
• Donna Embree, HHP, BEP, TNP
• Jack T Emory, DDS
• Empower Care Plus Solutions, LLC
• Encompass Telebehavioral Resources

• Orthodontics and Dentofacial Orthopedics Dentistry in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

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