Organization Active NPI

Mountain Kids Pediatric Dentistry

  • Dental Clinic/Center
  • Fort Collins, CO
National Provider Identifier
1568765105
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8628 Issued in CO
Legal business name
MOUNTAIN KIDS PEDIATRIC DENTISTRY
Practice address
260 E. Horsetooth Rd
Suite 110
Fort Collins, CO 80525-5919
Phone
(970) 224-3600
NPI assigned
Dec 20, 2010
Last updated
Feb 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Dr. Joseph Anthony Guido, DDSNPI 1154522878
Title
Owner
Phone
(970) 224-3600

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8628 CO Primary
Pediatric Dentistry 1223P0221X 8628 CO

Addresses

Primary practice location

260 E. Horsetooth Rd
Suite 110
Fort Collins, CO 80525-5919

Mailing address

260 E Horsetooth Rd
Suite 110
Fort Collins, CO 80525-5919
Phone (970) 224-3600

National Provider Directory

National Provider Directory

Locations

260 E Horsetooth Rd
Ste 110
Fort Collins, CO 80525
Phone (970) 224-3600

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": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1568765105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E HORSETOOTH RD",
            "address_2": "SUITE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255919",
            "telephone_number": "970-224-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E. HORSETOOTH RD",
            "address_2": "SUITE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255919",
            "telephone_number": "970-224-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN KIDS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "GUIDO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-224-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "8628",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "8628",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.