Kids Dental Aurora PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIDS DENTAL AURORA PC

Practice address

2295 S Chambers Rd Ste E
Aurora, CO 80014-4547

Phone

(720) 603-4788

NPI assigned

Jan 17, 2019

Organization subpart

No

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) 603-4788

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1811461379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 S CHAMBERS RD STE E",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 S CHAMBERS RD STE E",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144547",
            "telephone_number": "720-603-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTAL AURORA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MAGGI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "720-603-4788"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yergalem Habtu Kidane
• Ebony Kidd
• Rachel Lauren Kidder, MLS(ASCP)CM
• Kids Choice Dental of Aurora PC
• Kids Crossing
• Kids on the Go LLC
• Kids Smiles Colorado PLLC
• Kidstuff Child & Family Counseling, P.C.
• Mark Edward Kiehn, R.T. (R)(CT)
• Christopher Robert Kieling, MD

• General Practice Dentistry in Aurora, CO
• Providers in Aurora, 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 Oct 14, 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.