NPIMap

Organization Active NPI

Redstone Dental Group, LLP

Doing business as Redstone Dental Group / My Kids Dentist and Orth

  • General Practice Dentistry
  • Highlands Ranch, CO
National Provider Identifier
1841514387
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
REDSTONE DENTAL GROUP, LLP
Doing business as
Redstone Dental Group / My Kids Dentist and Orth
Practice address
1165 SGT Jon Stiles Dr
Highlands Ranch, CO 80129-2246
Phone
(303) 791-3209
Fax
(303) 731-0826
NPI assigned
Mar 25, 2010
Last updated
Mar 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Authorized official

Name
Dr. Biran A Ozenbaugh, DDS
Title
Owner Doctor
Phone
(303) 791-3209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1165 SGT Jon Stiles Dr
Highlands Ranch, CO 80129-2246

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 368-2077

Other names 1

  • Redstone Dental Group / My Kids Dentist and Orth Doing business as

National Provider Directory

National Provider Directory

Locations

1165 Sgt Jon Stiles Dr
Highlands Ranch, CO 80129
Phone (303) 470-5543

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1841514387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 SGT JON STILES DR",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292246",
            "telephone_number": "303-791-3209",
            "fax_number": "303-731-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDSTONE DENTAL GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "OZENBAUGH",
        "authorized_official_first_name": "BIRAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "303-791-3209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redstone Dental Group / My Kids Dentist and Orth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.