Organization Active NPI

KHL Enterprises, PLLC

  • Dental Clinic/Center
  • Aurora, CO
National Provider Identifier
1902322290
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KHL ENTERPRISES, PLLC
Practice address
14555 E Arapahoe Rd Unit D
Aurora, CO 80016-1584
Phone
(303) 766-4444
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Authorized official

Name
Dr. Kevin M. Varley, DDS
Title
Owner
Phone
(720) 289-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X CO Primary

Addresses

Primary practice location

14555 E Arapahoe Rd Unit D
Aurora, CO 80016-1584

Mailing address

667 Ridgeglen Way
Highlands Ranch, CO 80126-2264
Phone (720) 289-5867

Other identifiers 1

IdentifierTypeStateIssuer
94804261MedicaidCO

Other names 1

  • Stonebrook Family Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1902322290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 RIDGEGLEN WAY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801262264",
            "telephone_number": "720-289-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 E ARAPAHOE RD UNIT D",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161584",
            "telephone_number": "303-766-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHL ENTERPRISES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "VARLEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-289-5867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94804261",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonebrook Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.