Organization Active NPI

Embracekids IV, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Highlands Ranch, CO
National Provider Identifier
1962977835
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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

Updated by the provider on Oct 8, 2018

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Embracekids IV LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.