Individual provider Active NPI

Kathleen Ann Gates, DDS

  • General Practice Dentistry
  • Newton, IA
National Provider Identifier
1619906187
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-09627 Issued in IA
Practice address
600 E 17TH St S Ste a
Newton, IA 50208-4094
Phone
(513) 808-4984
NPI assigned
Jun 30, 2006
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN.00202725 CO
General Practice Dentistry 1223G0001X DDS-09627 IA Primary
General Practice Dentistry 1223G0001X D3185 ID

Addresses

Primary practice location

600 E 17TH St S Ste a
Newton, IA 50208-4094

Mailing address

9340 Canyon Dr
Woodland Park, CO 80863-7503
Phone (303) 886-4155

Other practice location 1

56720 Calumet Ave
Calumet, MI 49913-1967
Phone (906) 483-1177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190710001349 CO Practitioner - Dentist 1153656327 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00202725COMDGeneral Practice Dentistry
D3185IDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Vista Community Health Centers CurrentSince Aug 5, 2019 Accepting new patients
Peak Vista Community Health Centers CurrentSince Aug 5, 2019 Accepting new patients
The Downtown Dentist General Practice Past Accepting new patients
The Downtown Dentist General Practice Past Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

34 Hybrook Rd S
Divide, CO 80814
Phone (719) 687-4460

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1619906187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9340 CANYON DR",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808637503",
            "telephone_number": "303-886-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 17TH ST S STE A",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502084094",
            "telephone_number": "513-808-4984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56720 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Calumet",
            "state": "MI",
            "postal_code": "499131967",
            "country_code": "US",
            "telephone_number": "906-483-1177",
            "fax_number": "906-483-1394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATES",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00202725",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09627",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IA

Sources for this page

Verify at the official NPI Registry.