Active NPI
Kemie D Houston, D.D.S.,M.S.,P.C.
- Pediatric Dentistry
- Englewood, CO
National Provider Identifier
1720073158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 6881
- Practice address
- 125 Inverness Dr E
Suite 300
Englewood, CO 80112-5137 - Phone
- (303) 779-5306
- Fax
- (303) 779-1822
- NPI assigned
- Sep 12, 2005
- Reactivated
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 6881 | CO | Primary |
Addresses
Primary practice location
125 Inverness Dr E
Suite 300
Englewood, CO 80112-5137
Mailing address
125 Inverness Dr E
Suite 300
Englewood, CO 80112-5137
Phone (303) 779-5306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6881 | CO | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720073158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 INVERNESS DR E",
"address_2": "SUITE 300",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125137",
"telephone_number": "303-779-5306",
"fax_number": "303-779-1822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 INVERNESS DR E",
"address_2": "SUITE 300",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125137",
"telephone_number": "303-779-5306",
"fax_number": "303-779-1822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "KEMIE",
"middle_name": "D",
"credential": "D.D.S.,M.S.,P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2007-07-08",
"deactivation_date": "2006-03-22",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CO",
"license": "6881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.