CDK Pedo Thornton, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CDK PEDO THORNTON, PLLC

Doing business as

Comfort Dental Kids Thornton
GRiN Pediatric Dentistry & Orthodontics

Practice address

420 E 120TH Ave Ste B11
Northglenn, CO 80233-1113

Phone

(720) 453-3277

Fax

(720) 241-7811

NPI assigned

Nov 3, 2020

Last updated

Sep 25, 2023By 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

Colton Flake, DDSNPI 1578879417

Title

Dentist

Phone

(720) 277-5930

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Comfort Dental Kids Thornton Doing business as
• GRiN Pediatric Dentistry & Orthodontics Doing business as

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.

• Colton Flake, D.D.S.

  • Pediatric Dentistry
  • Centennial, CO
  • NPI 1578879417
  Authorized official Same address or phone

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1487255899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6870 S UNIVERSITY BLVD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221515",
            "telephone_number": "720-277-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 120TH AVE STE B11",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331113",
            "telephone_number": "720-453-3277",
            "fax_number": "720-241-7811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9652 Washington St",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802292160",
            "country_code": "US",
            "telephone_number": "720-453-3277",
            "fax_number": "720-241-7811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CDK PEDO THORNTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "FLAKE",
        "authorized_official_first_name": "COLTON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "720-277-5930",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000141734",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Kids Thornton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comfort Dental Kids Thornton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GRiN Pediatric Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly A Cassidy, OTR/L
• Yevette Castillo
• Jose Alejandro Castro, LPC, LAC
• Catholic Health Initiatives Colorado (PRNG PC Northglenn)
• Marilia Cavalcanti Neves
• Kathleen Celmer, COTA/L
• Deborah Pauline Chandler, L.AC.
• Charles Marx, D.D.S.
• Angela Chavarria
• Linda Chavez

• Pediatric Dentistry in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.