Active NPI
Embracekids IV, LLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Highlands Ranch, CO
National Provider Identifier
1962977835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- EMBRACEKIDS IV, LLC
- Practice address
- 9385 S Colorado Blvd Unit 101
Highlands Ranch, CO 80126-5241 - Phone
- (303) 791-6646
- NPI assigned
- Oct 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Owen Nieberg
- Title
- Coo
- Phone
- (303) 791-6646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
9385 S Colorado Blvd Unit 101
Highlands Ranch, CO 80126-5241
Mailing address
9385 S Colorado Blvd Unit 101
Highlands Ranch, CO 80126-5241
Other names 1
- Colorado Orthodontics
National Provider Directory
National Provider Directory- Tax ID family
- Embracekids IV LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Highlands Ranch, CO
- NPI 1427654268
Locations
9385 S Colorado Blvd
Unit 101
Highlands Ranch, CO 80126
Phone (303) 791-6646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538956800000",
"number": "1962977835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9385 S COLORADO BLVD UNIT 101",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801265241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9385 S COLORADO BLVD UNIT 101",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801265241",
"telephone_number": "303-791-6646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMBRACEKIDS IV, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-08",
"last_updated": "2018-10-08",
"status": "A",
"authorized_official_last_name": "NIEBERG",
"authorized_official_first_name": "OWEN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "303-791-6646"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Colorado Orthodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.