Pediatric Dental Group of Evergreen

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTAL GROUP OF EVERGREEN

Practice address

30960 Stagecoach Blvd Ste W100
Evergreen, CO 80439-7902

Phone

(303) 670-7070

Fax

(303) 670-7071

NPI assigned

Feb 27, 2025

Last updated

Feb 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David M Strange Jr., DDSNPI 1205946936

Title

Owner

Phone

(303) 588-7575

Specialties & licenses 1

Addresses

Practitioners 3

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.

• David Malcolm Strange Jr., DDS, MS

  • Pediatric Dentistry
  • Arvada, CO
  • NPI 1205946936
  NPD Authorized official
• Ann Nguyen Hoang, DMD

  • Pediatric Dentistry
  • Arvada, CO
  • NPI 1700322716
  NPD (past)
• Paul Dennis Regan, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Evergreen, CO
  • NPI 1891887402
  NPD (past)

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1619774528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15053 W 55TH DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804032923",
            "telephone_number": "303-421-5437",
            "fax_number": "303-422-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30960 STAGECOACH BLVD STE W100",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397902",
            "telephone_number": "303-670-7070",
            "fax_number": "303-670-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL GROUP OF EVERGREEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "STRANGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-588-7575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael K Park, MD
• Anne Paterson, IBCLC
• Peak Surgical Inc.
• Joni Pearl, LCSW
• Douglas R Pechette, M.D.
• Michael Joseph Penny
• Collette Kae Peterson, CMT
• Douglas R Petty, D.C.
• Physical Freedom, LLC
• Molly Marie Plasha, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.