NPIMap

Organization Active NPI

Sunrise Community Health

Doing business as Kids Care Dental Clinic

  • Federally Qualified Health Center (FQHC)
  • Evans, CO
National Provider Identifier
1902317274
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SUNRISE COMMUNITY HEALTH
Doing business as
Kids Care Dental Clinic
Sunrise Centennial Children's Clinic - Dental
Practice address
1400 37TH St
Evans, CO 80620-1906
Phone
(970) 348-1112
Fax
(970) 348-1134
NPI assigned
Oct 13, 2017
Last updated
Feb 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNRISE COMMUNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Lisa Aspromonte
Title
Credentialing Specialist
Phone
(970) 350-4602

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Pediatric Dentistry 1223P0221X CO

Addresses

Primary practice location

1400 37TH St
Evans, CO 80620-1906

Mailing address

2930 11TH Ave
Evans, CO 80620-1011

Other identifiers 1

IdentifierTypeStateIssuer
1902317274MedicaidCO

Other names 2

  • Kids Care Dental Clinic Doing business as
  • Sunrise Centennial Children's Clinic - Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Community Health22 organizations share this tax ID, including this one
Part of
Sunrise Community Health

Other organizations with this tax ID 21

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

View all 21

Locations

1400 37th St
Evans, CO 80620
Phone (970) 348-1112

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1902317274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 37TH ST",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201906",
            "telephone_number": "970-348-1112",
            "fax_number": "970-348-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNRISE COMMUNITY HEALTH",
        "enumeration_date": "2017-10-13",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "ASPROMONTE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "970-350-4602"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902317274",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Care Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunrise Centennial Children's Clinic - Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evans, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.