NPIMap

Organization Active NPI

Kinda PLLC-Dba Cherry Creek Pediatric Dentistry

Doing business as Cherry Creek Pediatric Dentistry

  • Pediatric Dentistry
  • Denver, CO
National Provider Identifier
1659086023
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KINDA PLLC-DBA CHERRY CREEK PEDIATRIC DENTISTRY
Doing business as
Cherry Creek Pediatric Dentistry
Practice address
5055 E Kentucky Ave Ste a
Denver, CO 80246-2279
Phone
(303) 757-8844
Fax
(303) 759-0994
NPI assigned
Jan 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Dr. Kojo Gyimah Danso, DMDNPI 1184088296
Title
Pediatric Dentist
Phone
(520) 991-7605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

5055 E Kentucky Ave Ste a
Denver, CO 80246-2279

Mailing address

5055 E Kentucky Ave Ste a
Denver, CO 80246-2279
Phone (303) 757-8844

Other identifiers 1

IdentifierTypeStateIssuer
9000172727MedicaidCO

Other names 1

  • Cherry Creek Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5055 E Kentucky Ave
Ste A
Denver, CO 80246
Phone (303) 757-8844

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1659086023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 E KENTUCKY AVE STE A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462279",
            "telephone_number": "303-757-8844",
            "fax_number": "303-759-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 E KENTUCKY AVE STE A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462279",
            "telephone_number": "303-757-8844",
            "fax_number": "303-759-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDA PLLC-DBA CHERRY CREEK PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "DANSO",
        "authorized_official_first_name": "KOJO",
        "authorized_official_middle_name": "GYIMAH",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "520-991-7605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000172727",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry Creek Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.