Organization Active NPI

Keri Kenning DDS MSD PC

Doing business as Wildflower Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Broomfield, CO
National Provider Identifier
1558248245
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
KERI KENNING DDS MSD PC
Doing business as
Wildflower Orthodontics
Practice address
925 Main St Ste D
Broomfield, CO 80020-1976
Phone
(303) 469-4191
NPI assigned
Aug 18, 2025
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Dr. Keri Kenning, DDS MSDNPI 1952929986
Title
Doctor/Owner
Phone
(620) 664-1296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

925 Main St Ste D
Broomfield, CO 80020-1976

Mailing address

925 Main St Ste D
Broomfield, CO 80020-1976
Phone (620) 664-1296

Other names 1

  • Wildflower Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

925 Main St
Ste D
Broomfield, CO 80020
Phone (303) 469-4191

Practitioners & affiliated clinicians

Practitioners 2

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": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1558248245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 MAIN ST STE D",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201976",
            "telephone_number": "620-664-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 MAIN ST STE D",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201976",
            "telephone_number": "303-469-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERI KENNING DDS MSD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "KENNING",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "620-664-1296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildflower Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.