Active NPI
Cara L Mudd, DDS, MSD
- Pediatric Dentistry
- Westminster, CO
National Provider Identifier
1962448191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8289
- Practice address
- 14697 Delaware Street
BLDG. B, Suite #210
Westminster, CO 80023 - Phone
- (303) 650-0310
- Fax
- (303) 650-0311
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8289 | CO | Primary |
Addresses
Primary practice location
14697 Delaware Street
BLDG. B, Suite #210
Westminster, CO 80023
Mailing address
14697 Delaware Street
BLDG. B, Suite #210
Westminster, CO 80023
Phone (303) 650-0310
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5812MU | Other | WA | REGENCE BLUESHIELD INS |
| 5046693 | Medicaid | WA |
Other names 1
- Cara L Goodwin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8289 | CO | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgeview Pediatric Dentistry PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Westminster, CO
- NPI 1417260787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1962448191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14697 DELAWARE STREET",
"address_2": "BLDG. B, SUITE #210",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "80023",
"telephone_number": "303-650-0310",
"fax_number": "303-650-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14697 DELAWARE STREET",
"address_2": "BLDG. B, SUITE #210",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "80023",
"telephone_number": "303-650-0310",
"fax_number": "303-650-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUDD",
"first_name": "CARA",
"middle_name": "L",
"credential": "DDS, MSD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CO",
"license": "8289",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD INS",
"identifier": "5812MU",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5046693",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARA",
"last_name": "GOODWIN",
"middle_name": "L",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.