Galaxy Smiles for Kids

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

GALAXY SMILES FOR KIDS

Practice address

191 Telluride St Unit 1
Brighton, CO 80601-4356

Phone

(916) 342-2574

NPI assigned

Apr 5, 2023

Last updated

Apr 5, 2023By 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

Prathip Sivaprakasam, DDSNPI 1184824922

Title

Owner

Phone

(916) 342-2574

Specialties & licenses 1

Addresses

Other names 1

• GALAXY SMILES FOR KIDS PLLC Other name

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.

• Prathip Sivaprakasam, DDS

  • Pediatric Dentistry
  • Brighton, CO
  • NPI 1184824922
  NPD Authorized official

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1861187056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2857 IRONTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383214",
            "telephone_number": "916-342-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 TELLURIDE ST UNIT 1",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014356",
            "telephone_number": "916-342-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAXY SMILES FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "SIVAPRAKASAM",
        "authorized_official_first_name": "PRATHIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-342-2574",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GALAXY SMILES FOR KIDS PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dustin J Froehlich, M.D.
• James Froncek
• Jeff David Froyd, PSY. D.
• Futurista Enterprises LLC
• Justin Christopher Gabor, MD
• Marcus Alan Gall, D.C.
• Kelsey Gallagher
• Jeffrey R Gappa, D.C.
• Dale Lynette Garcia
• Geer Chiropractic & Spine Health

• 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 Apr 5, 2023; 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.