Organization Active NPI

Brighton Pedo Dental, PLLC

Doing business as GRiN Pediatric Dentistry & Orthodontics of Brighton

  • Pediatric Dentistry
  • Brighton, CO
National Provider Identifier
1851140024
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
BRIGHTON PEDO DENTAL, PLLC
Doing business as
GRiN Pediatric Dentistry & Orthodontics of Brighton
Practice address
2700 E Bridge St Ste 201
Brighton, CO 80601-2561
Phone
(720) 277-5930
Fax
(303) 330-0714
NPI assigned
May 17, 2024
Last updated
May 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Colton Flake, DDSNPI 1578879417
Title
Managing Partner
Phone
(720) 277-5930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU

Addresses

Primary practice location

2700 E Bridge St Ste 201
Brighton, CO 80601-2561

Mailing address

7999 S Country Club Pkwy
Aurora, CO 80016-1195
Phone (720) 579-8855

Other names 1

  • GRiN Pediatric Dentistry & Orthodontics of Brighton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brighton Pedo Dental PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2700 E Bridge St
Ste 201
Brighton, CO 80601
Phone (303) 659-7700

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1851140024",
    "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": "2700 E BRIDGE ST STE 201",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012561",
            "telephone_number": "720-277-5930",
            "fax_number": "303-330-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON PEDO DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "FLAKE",
        "authorized_official_first_name": "COLTON",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "720-277-5930",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRiN Pediatric Dentistry & Orthodontics of Brighton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brighton, CO

Sources for this page

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