NPIMap

Organization Active NPI

Kelly S. Last DDS PC

  • Dental Clinic/Center
  • Evergreen, CO
National Provider Identifier
1992490981
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KELLY S. LAST DDS PC
Practice address
30772 Southview Dr Ste 200
Evergreen, CO 80439-2214
Phone
(303) 674-6264
NPI assigned
Apr 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Dr. Kelly Last, DDSNPI 1184851867
Title
President/Owner
Phone
(720) 556-2518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

30772 Southview Dr Ste 200
Evergreen, CO 80439-2214

Mailing address

30772 Southview Dr Ste 200
Evergreen, CO 80439-2214
Phone (303) 674-6264

National Provider Directory

National Provider Directory

Locations

30772 Southview Dr
Ste 200
Evergreen, CO 80439
Phone (303) 674-6264

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1992490981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30772 SOUTHVIEW DR STE 200",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392214",
            "telephone_number": "303-674-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30772 SOUTHVIEW DR STE 200",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392214",
            "telephone_number": "303-674-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY S. LAST DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "LAST",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "720-556-2518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.