NPIMap

Organization Active NPI

Colorado Dental Specialist Practice, LLC

Doing business as Denver Pediatrics

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1871236836
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COLORADO DENTAL SPECIALIST PRACTICE, LLC
Doing business as
Denver Pediatrics
Practice address
4301 E Amherst Ave
Denver, CO 80222-6790
Phone
(720) 739-6088
NPI assigned
Apr 18, 2022
Last updated
Apr 18, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
COLORADO DENTAL SPECIALIST PRACTICE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Gregory Kostelac
Title
Data Analyst
Phone
(719) 372-5605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

4301 E Amherst Ave
Denver, CO 80222-6790

Mailing address

6110 Barnes Rd
Colorado Springs, CO 80922-2600

Other names 1

  • Denver Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colorado Dental Specialist Practice LLC29 organizations share this tax ID, including this one
Part of
Colorado Dental Specialist Practice LLC

Other organizations with this tax ID 28

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

View all 28

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1871236836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 BARNES RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 E AMHERST AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226790",
            "telephone_number": "720-739-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO DENTAL SPECIALIST PRACTICE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO DENTAL SPECIALIST PRACTICE, LLC",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "KOSTELAC",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DATA ANALYST",
        "authorized_official_telephone_number": "719-372-5605"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.