Organization Active NPI

Kids Dental Federal PC

  • Dentist
  • Denver, CO
National Provider Identifier
1730653262
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KIDS DENTAL FEDERAL PC
Practice address
2001 W Alameda Ave Unit D
Denver, CO 80223-1988
Phone
(303) 937-7511
NPI assigned
Jan 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Maggi Evans
Title
Credentialing Specialist
Phone
(720) 603-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2001 W Alameda Ave Unit D
Denver, CO 80223-1988

Mailing address

2001 W Alameda Ave Unit D
Denver, CO 80223-1988
Phone (303) 937-7511

National Provider Directory

National Provider Directory

Locations

2001 W Alameda Ave
Unit D
Denver, CO 80223
Phone (303) 733-0567

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1730653262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W ALAMEDA AVE UNIT D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802231988",
            "telephone_number": "303-937-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W ALAMEDA AVE UNIT D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802231988",
            "telephone_number": "303-937-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTAL FEDERAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MAGGI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "720-603-4800"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.