PEDIATRIC DENTAL GROUP OF WHEAT RIDGE (NPI# 1043747900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043747900 |
Entity Type | Organization |
Organization Name | PEDIATRIC DENTAL GROUP OF WHEAT RIDGE |
Practice Address |
3555 Lutheran Pkwy Suite 310 Wheat Ridge CO 80033-6021 |
Practice Telephone | 3034678888 |
Enumeration Date | 2017-05-22 |
Last Update Date | 2017-05-22 |
Authorized Official Name | KRISTEN BARDEN (PRACTICE MANAGER) |
Authorized Official Telephone | 3034215437 |
Is Organization Subpart | Y |
Parent Organization Name | PEDIATRIC DENTAL GROUP OF COLORADO |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8332 | CO | Dental Providers |
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
651 | CO | Dental Providers |
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10389 | CO | Dental Providers |
N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
104994 | CO | Dental Providers |
N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
104928 | CO | Dental Providers |
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7843 | CO | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 64351084 | 05 | |
CO | 02078434 | 05 | |
CO | 56483546 | 05 | |
CO | 02006518 | 05 | |
CO | 81227078 | 05 | |
CO | 38371847 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Pediatric Dental Group of Wheat Ridge, PC | Medical Office Building Iv, 3555 Lutheran Parkway, Suite 310, Wheat Ridge, CO 80033 |
Street Address |
3555 LUTHERAN PKWY SUITE 310 |
City | WHEAT RIDGE |
State | CO |
Zip Code | 80033-6021 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831194463 | Caroline Teresa Thramann | Pediatrics | 3555 Lutheran Pkwy, Ste 340, Wheat Ridge, CO 80033-6039 | 2005-06-20 |
1043663248 | Brielle Smith | Physician Assistant | 3555 Lutheran Pkwy, Suite 340, Wheat Ridge, CO 80033-6021 | 2016-07-22 |
1295015261 | Rose Shehan | Registered Nurse | 3555 Lutheran Pkwy, 180, Wheat Ridge, CO 80033-6021 | 2011-08-23 |
1932499761 | Yamini Bear Rao | Pediatrics | 3555 Lutheran Pkwy, #340, Wheat Ridge, CO 80033-6021 | 2011-04-13 |
1497062467 | Barbara Calo | Nurse Practitioner | 3555 Lutheran Pkwy, Suite 200, Wheat Ridge, CO 80033-6021 | 2010-09-10 |
1184940884 | Michael A. Tralla M.d., P.C. | Specialist | 3555 Lutheran Pkwy, Ste 160, Wheat Ridge, CO 80033-6017 | 2010-04-20 |
1104148097 | Pamela Fae Penrose | Physician Assistant | 3555 Lutheran Pkwy, Ste 340, Wheat Ridge, CO 80033-6021 | 2010-02-19 |
1063744357 | Melanie Ruth Sida | Nurse Practitioner | 3555 Lutheran Pkwy, Wheat Ridge, CO 80033-6021 | 2010-02-11 |
1144552571 | Jaimes Ellen Vail | Physician Assistant | 3555 Lutheran Pkwy, Suite 340, Wheat Ridge, CO 80033-6021 | 2010-02-10 |
1922330406 | Cynthia Lynne Nugent | Nurse Practitioner | 3555 Lutheran Pkwy, 340, Wheat Ridge, CO 80033-6021 | 2010-02-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
Find all providers in zip 80033 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164815841 | D. Malcolm Strange Dds, Msd, P.C. | Dentist | 8550 W 38th Ave, Suite 306, Wheat Ridge, CO 80033-4300 | 2015-03-05 |
1578798955 | Ashley Noel Underwood | Dentist | 8550 W 38th Ave, Suite 306, Wheat Ridge, CO 80033-4300 | 2009-05-28 |
1164473625 | David Malcolm Strange | Dentist | 8550 W 38th Ave, #306, Wheat Ridge, CO 80033-4300 | 2006-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578181103 | Stettler Kr Broadmoor Pllc | Dentist | 4515 Broadmoor Bluffs Dr, Colorado Springs, CO 80906-8647 | 2020-07-09 |
1043842453 | Highlands Pediatric Dentistry | Dentist | 3141 Irving St Unit 200, Denver, CO 80211-3654 | 2020-02-04 |
1174163711 | J Patrick Bowman Dmd Pllc | Dentist | 1280 S Pearl St, Denver, CO 80210-1538 | 2020-01-12 |
1487211124 | Rebecca Goldberg, Dds, Pllc | Dentist | 2975 Roslyn St Unit 160, Denver, CO 80238-3326 | 2019-05-28 |
1427521509 | Kids Mile High Thornton Pllc | Dentist | 7375 E. 128th Ave, Thornton, CO 80602 | 2019-01-10 |
1578060299 | Julia Rose Wiegand | Dentist | 2352 Meadows Blvd Ste 200, Castle Rock, CO 80109-8408 | 2018-04-09 |
1215432141 | Dan Duy Hoang | Dentist | 660 Southpointe Ct Ste 100, Colorado Springs, CO 80906-3806 | 2018-03-23 |
1053851485 | Allison Threlkeld Davis | Dentist | 404 E Mineral Ave Ste A, Littleton, CO 80122-2611 | 2017-03-04 |
1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
1942673512 | A. P. Smithwick D.d.s. IIi Professional LLC | Dentist | 125 Inverness Dr E Ste 300, Englewood, CO 80112-5139 | 2015-11-04 |
Find all providers with the same taxonomy |
City | WHEAT RIDGE |
Zip Code | 80033 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.