Organization Active NPI

Kids and Family Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Commerce City, CO
National Provider Identifier
1689262826
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
KIDS AND FAMILY ORTHODONTICS
Practice address
5970 E 64TH Ave
Commerce City, CO 80022-3317
Phone
(303) 495-2801
NPI assigned
Jan 4, 2021
Last updated
Jan 4, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
KIDS AND FAMILY ORTHODONTICS,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Roger Bumgarner, DDS
Title
Owner
Phone
(303) 495-2801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

5970 E 64TH Ave
Commerce City, CO 80022-3317

Mailing address

5970 E 64TH Ave
Commerce City, CO 80022-3317

National Provider Directory

National Provider Directory
Tax ID family
Kids and Family Orthodontics4 organizations share this tax ID, including this one
Part of
Kids and Family Orthodonticsllc

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1689262826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 E 64TH AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 E 64TH AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223317",
            "telephone_number": "303-495-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS AND FAMILY ORTHODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDS AND FAMILY ORTHODONTICS,LLC",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "BUMGARNER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-495-2801",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.