Kinder Smiles Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KINDER SMILES PEDIATRIC DENTISTRY

Practice address

19621 Solar Cir Ste 201
Parker, CO 80134-7326

Phone

(214) 789-9088

NPI assigned

Jan 25, 2025

Organization subpart

No

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

Authorized official

Name

Jessica Kwon, DDSNPI 1043731433

Title

Pediatric Dentist

Phone

(214) 789-9088

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jessica Kwon

  • Pediatric Dentistry
  • San Jacinto, CA
  • NPI 1043731433
  NPD Authorized official

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

{
    "created_epoch": "1737763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737763200000",
    "number": "1689486680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 STARRY NIGHT LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19621 SOLAR CIR STE 201",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347326",
            "telephone_number": "214-789-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDER SMILES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-25",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "214-789-9088",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marsh Dietitian LLC
• Cathleen Kimmel, LPC
• Sandi Kimmel, RDMS, RVT
• Kimron Medical Solutions, Inc.
• Samantha Kincaid, O.D.
• Dennis Ray Kinder, M.D.
• Jessica Dawn King-Dylewski, D.O.
• Stephanie Lynn Kipp, MSN, APRN, FNP-C
• Maya Taylor Kippen, DO
• Keith D Kirkland

• Pediatric Dentistry in Parker, CO
• Providers in Parker, 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 25, 2025; 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.