NPIMap

Organization Active NPI

All Kids Dental Pediatrics and Orthodontics

  • Pediatric Dentistry
  • Rifle, CO
National Provider Identifier
1508023805
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ALL KIDS DENTAL PEDIATRICS AND ORTHODONTICS
Practice address
990 Airport Rd
Rifle, CO 81650-8527
Phone
(970) 625-9500
Fax
(970) 928-7467
NPI assigned
May 22, 2008
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Casey W Johnson, DDSNPI 1164420121
Title
Partner
Phone
(970) 928-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X

Addresses

Primary practice location

990 Airport Rd
Rifle, CO 81650-8527

Mailing address

2624 Grand Ave Ste 200
Glenwood Springs, CO 81601-4676
Phone (970) 928-9500

National Provider Directory

National Provider Directory
Tax ID family
All Kids Dental Pediatrics and Orthodontics4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

990 Airport Rd
Rifle, CO 81650
Phone (970) 625-9500

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1508023805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 GRAND AVE STE 200",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014676",
            "telephone_number": "970-928-9500",
            "fax_number": "970-928-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 AIRPORT RD",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816508527",
            "telephone_number": "970-625-9500",
            "fax_number": "970-928-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL KIDS DENTAL PEDIATRICS AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "970-928-9500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rifle, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.