Kristopher Mendoza, DDS

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

DEN.00203547 Issued in CO

Practice address

811 Brickyard Cir # a
Golden, CO 80403-8058

Phone

(559) 367-2336

NPI assigned

Jun 2, 2018

Last updated

Mar 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rocky Mountain Dental Anesthesia

  • Dental Anesthesiology
  • Golden, CO
  • NPI 1942868690
  NPD Authorized official

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

{
    "created_epoch": "1527897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1457843799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 BRICKYARD CIR # A",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804038058",
            "telephone_number": "559-367-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 BRICKYARD CIR # A",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804038058",
            "telephone_number": "559-367-2336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8301 E Prentice Ave Ste 215",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112990",
            "country_code": "US",
            "telephone_number": "559-367-2336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "KRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-02",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CO",
            "license": "DEN.00203547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Jo Meetz, MSPT
• Eric Robert Mehlberg, MD
• Melissa Forrow LLC
• Erica Melkonian, DO
• Caymen Abbey Menard, PT, DPT
• Kristen A Merrell, MPT
• Sandra Merrow, MS, LPC, LAC
• Gregory Lee Mesa, M.D.
• Metro Community Provider Network, Inc. (STRIDE Community Health Center)
• Metro Community Provider Network, Inc. (STRIDE CHC - Golden High School Dental Clinic)

• Dental Anesthesiology in Golden, CO
• Providers in Golden, CO by specialty
• Dental Anesthesiology in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.