Organization Active NPI

Pediatric Dentistry, P.C.

  • Pediatric Dentistry
  • Littleton, CO
National Provider Identifier
1881717007
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
104977 Issued in CO
Legal business name
PEDIATRIC DENTISTRY, P.C.
Practice address
10184 W Belleview Ave
Suite 110
Littleton, CO 80127-1700
Phone
(303) 973-4424
Fax
(303) 973-4427
NPI assigned
Apr 10, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Ira N Moyer, D.D.SNPI 1245205277
Title
Secretary-Treasurer
Phone
(303) 973-4424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 104978 CO
Pediatric Dentistry 1223P0221X 104977 CO Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 104977 CO

Addresses

Primary practice location

10184 W Belleview Ave
Suite 110
Littleton, CO 80127-1700

Mailing address

10184 W Belleview Ave
Suite 110
Littleton, CO 80127-1700
Phone (303) 973-4424

Other identifiers 1

IdentifierTypeStateIssuer
02049781MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1881717007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10184 W BELLEVIEW AVE",
            "address_2": "SUITE 110",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801271700",
            "telephone_number": "303-973-4424",
            "fax_number": "303-973-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10184 W BELLEVIEW AVE",
            "address_2": "SUITE 110",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801271700",
            "telephone_number": "303-973-4424",
            "fax_number": "303-973-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SECRETARY-TREASURER",
        "authorized_official_telephone_number": "303-973-4424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "104978",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "104977",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "104977",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02049781",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.