Pedodent PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDODENT PC

Practice address

2700 E Bridge St
Brighton, CO 80601-2591

Phone

(303) 659-7700

NPI assigned

Jul 6, 2021

Last updated

Jul 19, 2021By 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

Dr. Bryan NelsonNPI 1669446530

Title

Owner

Phone

(303) 422-6752

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Bryan P Nelson, D.D.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Arvada, CO
  • NPI 1669446530
  NPD (past) Authorized official

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1851962310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8723 WADSWORTH BLVD STE B",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800030921",
            "telephone_number": "303-422-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E BRIDGE ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012591",
            "telephone_number": "303-659-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDODENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-422-6752",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEDIATRIC DENTISTRY",
            "identifier": "1225013451",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassie Lynn Pavlovic, M.S.
• Jennie Lee Payne, M.D.
• Peak Form LLC (Peak Form Medical Clinic)
• Opal Eileen Pearson, RN
• Pediatric Enhancement of Developmental Skills LLC
• Pennock Center for Counseling
• Alejandro Luis Perez-Martinez, MASSAGE THERAPIST
• Rita Perez
• Perfect Teeth - Brighton P.C.
• Perio Bright Dental Implant Center PLLC

• Pediatric Dentistry in Brighton, CO
• Providers in Brighton, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.