NPIMap

Organization Active NPI

Rabbit Ears PLLC

  • Pediatric Dentistry
  • Craig, CO
National Provider Identifier
1952016339
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
RABBIT EARS PLLC
Doing business as
A Kidz Dentist
Practice address
1111 W Victory Way Ste 104
Craig, CO 81625-2954
Phone
(970) 879-7976
Fax
(970) 879-6710
NPI assigned
Jan 19, 2023
Organization subpart
Yes
Parent organization
RABBIT EARS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Kolby Lance
Title
Owner
Phone
(435) 790-4170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1111 W Victory Way Ste 104
Craig, CO 81625-2954

Mailing address

1111 W Victory Way Ste 104
Craig, CO 81625-2954
Phone (970) 879-7976

Other names 1

  • A Kidz Dentist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rabbit Ears PLLC2 organizations share this tax ID, including this one
Part of
Rabbit Ears PLLC

Other organizations with this tax ID 1

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

Locations

1111 W Victory Way
Ste 104
Craig, CO 81625
Phone (970) 879-7976

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": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1952016339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W VICTORY WAY STE 104",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252954",
            "telephone_number": "970-879-7976",
            "fax_number": "970-879-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W VICTORY WAY STE 104",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252954",
            "telephone_number": "970-879-7976",
            "fax_number": "970-879-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABBIT EARS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RABBIT EARS PLLC",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "LANCE",
        "authorized_official_first_name": "KOLBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-790-4170"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Kidz Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Craig, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.