Active NPI
Kathleen Ann Gates, DDS
- General Practice Dentistry
- Newton, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS-09627
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00202725 | CO | MD | General Practice Dentistry |
| D3185 | ID | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Vista Community Health Centers | Current | Accepting new patients | |
| Peak Vista Community Health Centers | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1730166034
-
dba Behavioral Health at Inside Out Youth Services
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1871347443
-
- General Practice Dentistry
- Colorado Springs, CO
- NPI 1841582210
-
- General Practice Dentistry
- Colorado Springs, CO
- NPI 1912815689
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.