Clover Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CLOVER PEDIATRIC DENTISTRY PLLC

Practice address

14749 W 87TH Pkwy Unit a
Arvada, CO 80005-1337

Phone

(720) 805-0707

Fax

(720) 805-0188

NPI assigned

Jan 20, 2021

Organization subpart

No

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

Authorized official

Name

Betty Yip, DMDNPI 1245610351

Title

Owner, Pediatric Dentist

Phone

(720) 805-0707

Specialties & licenses 1

Addresses

Other names 1

• Clover Kids Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Betty Yip, DMD

  • Pediatric Dentistry
  • Arvada, CO
  • NPI 1245610351
  NPD Authorized official

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1497345839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14749 W 87TH PKWY UNIT A",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800051337",
            "telephone_number": "720-805-0707",
            "fax_number": "720-805-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14749 W 87TH PKWY UNIT A",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800051337",
            "telephone_number": "720-805-0707",
            "fax_number": "720-805-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "YIP",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OWNER, PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "720-805-0707",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clover Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott E Clemens, MD
• CLG Solutions LLC
• Isabella Dawn Cline, BA
• Closer Look Eyecare, Inc.
• Diana Lynn Cloud, LPC
• Alison Renee Clukey, LMT
• Rita D Coalson, MA, LPC, NCC
• Wilma Cobb
• Colbie Marie Coddou, LPCC
• Mia J Coffing, BCBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.