Kylee Brightside, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00202277 Issued in CO

Practice address

1161 S Perry St Ste 100
Castle Rock, CO 80104-1981

Phone

(720) 799-1445

NPI assigned

May 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740625730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 S PERRY ST STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041981",
            "telephone_number": "720-799-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 S PERRY ST STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041981",
            "telephone_number": "720-799-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHTSIDE",
        "first_name": "KYLEE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00202277",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00202277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla T Bregni-Page, DO
• Brenna McLain, DDS, PLLC
• Karen Marie Brennan, NC, BCHN, MSW
• Bridges Pediatric Speech Therapy LLC
• Bright Start Occupational Therapy, LLC
• Brigid Medical, LLC
• Ethan Brilley
• Melissa Ann Brizgis, OT/L, MS
• Kaitlyn Cooper Brock, M.ED., LPC CANDIDATE
• Alexandria Brockman

• General Practice Dentistry in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.