Organization Active NPI

Fort Collins Kids Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Collins, CO
National Provider Identifier
1992560866
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
FORT COLLINS KIDS ORTHODONTICS LLC
Practice address
1241 Riverside Ave Ste 101
Fort Collins, CO 80524-3204
Phone
(970) 632-0306
NPI assigned
Feb 19, 2024
Last updated
Feb 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Dr. Joseph Guido, DDS
Title
President
Phone
(970) 672-7525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1241 Riverside Ave Ste 101
Fort Collins, CO 80524-3204

Mailing address

1241 Riverside Ave Ste 101
Fort Collins, CO 80524-3204
Phone (970) 632-0306

National Provider Directory

National Provider Directory

Locations

1241 Riverside Ave
Ste 101
Fort Collins, CO 80524
Phone (970) 632-0306

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1992560866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 RIVERSIDE AVE STE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243204",
            "telephone_number": "970-632-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 RIVERSIDE AVE STE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243204",
            "telephone_number": "970-632-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT COLLINS KIDS ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "GUIDO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-672-7525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "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": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.