Colorado Kids Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8330 Issued in CO

Legal business name

COLORADO KIDS PEDIATRIC DENTISTRY

Doing business as

Drs. Fox, Waguespack & Norwood

Practice address

9358 Dorchester St.
Suite 106
Highlands Ranch, CO 80129

Phone

(303) 225-4715

Fax

(303) 688-6012

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Mehelich Fox, DDSNPI 1427078435

Title

Owner/Operator

Phone

(303) 791-4400

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Drs. Fox, Waguespack & Norwood Doing business as

Tax ID family

Colorado Kids Pediatric Dentistry2 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.

• Colorado Kids Pediatric Dentistry

  dba Drs. Fox, Waguespack & Norwood

  • Pediatric Dentistry
  • Lone Tree, CO
  • NPI 1407901754
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Colorado Kids Pediatric Dentistry

  dba Drs. Fox, Waguespack & Norwood

  • Pediatric Dentistry
  • Lone Tree, CO
  • NPI 1407901754
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Mehelich Fox, DDS

  • Pediatric Dentistry
  • Highlands Ranch, CO
  • NPI 1427078435
  NPD (past) Authorized official
• Kathleen Elizabeth Waguespack, DMD

  • Pediatric Dentistry
  • Highlands Ranch, CO
  • NPI 1215048806
  NPD (past)
• Shreya Divya Lettre, DDS

  • Pediatric Dentistry
  • Fort Worth, TX
  • NPI 1932639994
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1619976990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9358 DORCHESTER ST.",
            "address_2": "SUITE 106",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80129",
            "telephone_number": "303-791-4400",
            "fax_number": "303-471-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9358 DORCHESTER ST.",
            "address_2": "SUITE 106",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80129",
            "telephone_number": "303-225-4715",
            "fax_number": "303-688-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO KIDS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MEHELICH",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "303-791-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "674",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "8330",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "00201980",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISA MEHELICH FOX, DDS NPI",
            "identifier": "1427078435",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KATHLEEN E. WAGUESPACK, DMD, NPI",
            "identifier": "1215048806",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Fox, Waguespack & Norwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colorado Allergy and Asthma Centers, PC
• Colorado Care First
• Colorado Counseling Professionals, P.C.
• Colorado Dental Specialist Practice, LLC (Colorado Dental Specialists)
• Colorado Dermatology PC
• Colorado Neurology and Epilepsy Clinic, PLLC
• Colorado Permanente Medical Group, P.C. (Kaiser Permanente Ridgeline Behavioral Health Medical Offices)
• Colorado Permanente Medical Group, P.C. (Kaiser Permanente Highlands Ranch Medical Offices)
• Colorado Surgical Service PC (Surgical Specialists of Colorado, PC)
• Colorado Virtual Counseling LLC

• Pediatric Dentistry in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.