Kid Dental Carson City LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KID DENTAL CARSON CITY LLC

Doing business as

First Care Kid Dental

Practice address

314 W Fifth St
Carson City, NV 89703-4604

Phone

(775) 882-1111

Fax

(775) 525-5512

NPI assigned

May 19, 2019

Organization subpart

No

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

Authorized official

Name

Angela K. Golden

Title

Member/Owner

Phone

(775) 846-4777

Specialties & licenses 1

Addresses

Other names 1

• First Care Kid Dental Doing business as

Tax ID family

First Care Dental2 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.

• Kid Dental Carson City, LLC

  dba First Care Dental

  • Pediatric Dentistry
  • Carson City, NV
  • NPI 1568028181
  NPD tax ID

Locations

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

{
    "created_epoch": "1558224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558224000000",
    "number": "1679139257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 BEACH RIVER DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216223",
            "telephone_number": "775-846-4777",
            "fax_number": "775-525-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W FIFTH ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034604",
            "telephone_number": "775-882-1111",
            "fax_number": "775-525-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID DENTAL CARSON CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-19",
        "last_updated": "2019-05-19",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "775-846-4777"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Care Kid Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kent W Gabriel MD Professional Corportion
• Sweet-Charity May Keplinger, PA
• Megan Elizabeth Kerrigan
• Julie Renee Kewanyama, APRN
• Farnaz Khankhanian, O.D.
• Kid Dental Carson City, LLC (First Care Dental)
• Bay-Lee Kiesow
• Kiggins Family Dentistry
• Justin Daniel Kiggins, DMD
• Lennette Kimmins

• Dentist in Carson City, NV
• Providers in Carson City, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2019; 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.