Organization Active NPI

Embracekids, a Professional LLC

Doing business as All About Braces

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Collins, CO
National Provider Identifier
1710207410
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6889 Issued in CO
Legal business name
EMBRACEKIDS, A PROFESSIONAL LLC
Doing business as
All About Braces
Practice address
1015 S Taft Hill Rd
Unit Q
Fort Collins, CO 80521-4240
Phone
(970) 980-2145
Fax
(970) 980-2142
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Yvette Mendez
Title
Office Manager
Phone
(303) 462-1462

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 6889 CO Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 9224 CO
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 9257 CO

Addresses

Primary practice location

1015 S Taft Hill Rd
Unit Q
Fort Collins, CO 80521-4240

Mailing address

2020 Wadsworth Blvd
Suite 18-a
Lakewood, CO 80214-5728
Phone (303) 462-1462

Other names 1

  • All About Braces Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Embrace Kids a Professional LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1710207410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WADSWORTH BLVD",
            "address_2": "SUITE 18-A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145728",
            "telephone_number": "303-462-1462",
            "fax_number": "303-997-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S TAFT HILL RD",
            "address_2": "UNIT Q",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805214240",
            "telephone_number": "970-980-2145",
            "fax_number": "970-980-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACEKIDS, A PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-462-1462"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "6889",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "9224",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "9257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All About Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.