Kelly R Freeman DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

9957 Issued in CO

Legal business name

KELLY R FREEMAN DDS PC

Doing business as

Lone Tree Family Dentistry

Practice address

10455 Park Meadows Dr Ste 101
Lone Tree, CO 80124-5307

Phone

(303) 790-0234

Fax

(303) 768-8644

NPI assigned

Dec 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Freeman, DDS

Title

Owner President

Phone

(303) 790-0234

Specialties & licenses 1

Addresses

Other names 1

• Lone Tree Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1952817520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 PARK MEADOWS DR STE 101",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245307",
            "telephone_number": "303-790-0234",
            "fax_number": "303-768-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 PARK MEADOWS DR STE 101",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245307",
            "telephone_number": "303-790-0234",
            "fax_number": "303-768-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY R FREEMAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "303-790-0234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "9957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Tree Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Kasparek, RN
• Gabriel Lorenzo Kass
• Lora Kayali, RPH
• Kenji Kaye, MD
• KDJH Associated, LLC (Lone Tree Family Medicine)
• Anne Elizabeth Codere Kelly, MD
• Farrell Derden Kelly, DOULA
• Amy Kemp
• Erica Kennedy, LCSW
• Laura Christine Kennedy, M.D.

• Dental Clinic/Center in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Dental Clinic/Center in Colorado

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