Braces4Kids, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9143 Issued in CO

Legal business name

BRACES4KIDS, PLLC

Practice address

2400 W 16TH St
Greeley, CO 80634-6067

Phone

(970) 523-6333

Fax

(970) 243-3008

NPI assigned

Jun 5, 2015

Organization subpart

No

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

Authorized official

Name

Tyler H Jolley, DMD

Title

Doctor/Owner

Phone

(970) 523-6333

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Braces4Kids PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Braces4Kids, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pueblo, CO
  • NPI 1447633953
  NPD tax ID

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1619357555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 28 1/4 RD UNIT E",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815066022",
            "telephone_number": "970-523-6333",
            "fax_number": "970-243-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346067",
            "telephone_number": "970-523-6333",
            "fax_number": "970-243-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACES4KIDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "JOLLEY",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "970-523-6333",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "9143",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "10718",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588763528",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154675874",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Ann Boyd, LCSW
• Edward R Boyer
• Kelsey Boyer
• Richard Stanley Boyes, DMD
• David Corwin Braak, MD
• Hilary Brachfeld, MSW
• Braden Partners LP
• Michael Bradfield, MD
• Casey Bradley
• Paul B Bradley, D.C.

• Orthodontics and Dentofacial Orthopedics Dentistry in Greeley, CO
• Providers in Greeley, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.