Braces4Kids, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BRACES4KIDS, PLLC

Practice address

1022 Liberty LN
Pueblo, CO 81001-2039

Phone

(970) 523-6333

NPI assigned

Jul 1, 2015

Last updated

Jul 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tonja Cronkhite

Title

Insurance Coordinator

Phone

(970) 523-6333

Specialties & licenses 1

Addresses

Tax ID family

Braces4Kids PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Braces4Kids, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greeley, CO
  • NPI 1619357555
  NPD tax ID

Locations

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.

• Tyler H Jolley, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grand Junction, CO
  • NPI 1588763528
  NPD (past)

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1447633953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 28 1/4 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815066022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 LIBERTY LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810012039",
            "telephone_number": "970-523-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACES4KIDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "CRONKHITE",
        "authorized_official_first_name": "TONJA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "970-523-6333"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Alan Bowman, MD
• Suneel Boyareddygari, MD
• Pauline Mae Boyd, LCSW
• Erin Boylan, LPC
• Chun CHI Brace, ND
• Brad's House Pueblo
• Brad's House Pueblo
• Jasmine N Braddock, OTR/L
• Carol Bradford
• William Micheal Bradford, LAC

• Orthodontics and Dentofacial Orthopedics Dentistry in Pueblo, CO
• Providers in Pueblo, 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 Jul 1, 2015; 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.