Lakewood Grin Ortho, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

LAKEWOOD GRIN ORTHO, PLLC

Doing business as

GRiN Orthodontics of Lakewood

Practice address

7475 W Colfax Ave Ste 103
Lakewood, CO 80214-5425

Phone

(720) 512-2879

Fax

(303) 330-0714

NPI assigned

Jul 17, 2024

Last updated

Jul 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colton Flake, DDS

Title

Managing Partner

Phone

(720) 579-8855

Specialties & licenses 1

Addresses

Other names 1

• GRiN Orthodontics of Lakewood Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Allen Gardner, D.D.S.

  • Pediatric Dentistry
  • Centennial, CO
  • NPI 1831454917
  NPD (past)

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1740028455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7999 S COUNTRY CLUB PKWY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161195",
            "telephone_number": "720-579-8855",
            "fax_number": "877-444-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 W COLFAX AVE STE 103",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145425",
            "telephone_number": "720-512-2879",
            "fax_number": "303-330-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD GRIN ORTHO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "FLAKE",
        "authorized_official_first_name": "COLTON",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "720-579-8855",
        "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": [
        {
            "organization_name": "GRiN Orthodontics of Lakewood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GRiN Orthodontics of Lakewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakewood Dentists and Orthodontics, LLP (Lakewood Dentists and Orthodontics)
• Lakewood Eye Center, LLC
• Lakewood Family Chiropractic Wellness Center, LLC (Lakewood Back & Neck Center)
• Lakewood Family Dentistry, P.C.
• Lakewood Family Health Clinic LLC
• Lakewood Healthcare LLC (Sierra Post Acute)
• Lakewood Homestead LTD (The Homestead at Lakewood)
• Lakewood Injury Treatment Center Inc
• Lakewood Internal Medicine Professional LLC
• Lakewood Medical Center

• Orthodontics and Dentofacial Orthopedics Dentistry in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.