NPIMap

Organization Active NPI

Dentistry for Colorado Kids, PLLC

  • Dental Clinic/Center
  • Aurora, CO
National Provider Identifier
1649009275
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTISTRY FOR COLORADO KIDS, PLLC
Practice address
15159 E Colfax Ave Unit B
Aurora, CO 80011-5707
Phone
(303) 341-5437
NPI assigned
Jul 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Jeffrey M Jacobson
Title
Owner
Phone
(916) 877-7450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

15159 E Colfax Ave Unit B
Aurora, CO 80011-5707

Mailing address

1420 Rocky Ridge Dr Ste 320
Roseville, CA 95661-2835
Phone (916) 877-7450

Other names 1

  • Kids Choice Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dentistry for Colorado Kids PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1649009275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 ROCKY RIDGE DR STE 320",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612835",
            "telephone_number": "916-877-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15159 E COLFAX AVE UNIT B",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800115707",
            "telephone_number": "303-341-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY FOR COLORADO KIDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-877-7450"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Choice Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.