Colorado Dentistry for Children LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

106265 Issued in CO

Legal business name

COLORADO DENTISTRY FOR CHILDREN LLC

Practice address

242 Cambridge St
Brush, CO 80723-1608

Phone

(970) 387-8737

NPI assigned

Aug 8, 2016

Last updated

Aug 8, 2016By 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. Jeffrey Owen Young, D.D.S.

Title

Owner

Phone

(303) 548-6593

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1861946832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15795 WILD HORSE DR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239433",
            "telephone_number": "303-548-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 CAMBRIDGE ST",
            "city": "BRUSH",
            "state": "CO",
            "postal_code": "807231608",
            "telephone_number": "970-387-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO DENTISTRY FOR CHILDREN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-548-6593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "106265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brush Family Dentistry, PLLC
• Brush Family Medicine
• Damiesha Bryant
• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado (Centura Brush Medical Group)
• Condar,Inc
• Consultants for Children, Inc
• Jay F. Cook, M.D.
• Savannah Rose Dederick
• Lynn R Dilley, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.