BRACES4KIDS, PLLC (NPI# 1447633953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447633953 |
| Entity Type | Organization |
| Organization Name | BRACES4KIDS, PLLC |
| Practice Address |
1022 Liberty Ln Pueblo CO 81001-2039 |
| Mailing Address |
601 28 1/4 Rd Grand Junction CO 81506-6022 |
| Practice Telephone | 9705236333 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |
| Authorized Official Name | TONJA CRONKHITE (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 9705236333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619357555 | Braces4kids, Pllc | Dentist | 2400 W 16th St, Greeley, CO 80634-6067 | 2015-06-05 |
| Street Address |
1022 LIBERTY LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-2039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881671436 | Adolph Ralph Padula | Dentist | 1022 Liberty Ln, Pueblo, CO 81001-2039 | 2005-12-26 |
| 1578822375 | Family & Kids Dental PC | Dentist | 1022 Liberty Ln, Pueblo, CO 81001-2039 | 2012-05-14 |
| 1922304237 | Kunjan Kakar | Dentist | 1022 Liberty Ln, Pueblo, CO 81001-2039 | 2011-02-03 |
| 1790941912 | Prathima Rasamesetty | Dentist | 1022 Liberty Ln, Family & Kids Dental, Pueblo, CO 81001-2039 | 2008-08-07 |
| 1699724831 | Derose Children's Dental Clinic, PC | Dentist | 1022 Liberty Ln, Pueblo, CO 81001-2039 | 2006-05-07 |
| 1033185871 | Michael Anthony Derose | Dentist | 1022 Liberty Ln, Pueblo, CO 81001-2039 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710391511 | Alyssa Shaikh | Dentist | 3955 Sandalwood Ln, Pueblo, CO 81005-2586 | 2014-06-19 |
| 1396034773 | Brian G Scott | Dentist | 1641 Horseshoe Dr, Pueblo, CO 81001-2062 | 2011-04-06 |
| 1851693469 | Michael Kofford Dmd; Pllc | Dentist | 501 Quincy St, Pueblo, CO 81004-2064 | 2010-12-02 |
| 1184890915 | Hg Stringert Dds, Ms, PC | Dentist | 3955 Sandlewood Lane, Pueblo, CO 81005 | 2008-05-01 |
| 1164544532 | Howard Graham Stringert | Dentist | 3955 Sandlewood Ln, Pueblo, CO 81005-2586 | 2007-04-04 |
| 1447374053 | R. Craig Hunter | Dentist | 3901 Outlook Blvd, Pueblo, CO 81008-1698 | 2007-03-19 |
| 1821025768 | Dr Jb Geiler PC | Dentist | 501 Quincy Street, Pueblo, CO 81004-2064 | 2006-06-27 |
| 1063959161 | Brian Scott Dds Ms PC | Dentist | 1641 Horseshoe Dr, Pueblo, CO 81001-2062 | 2017-01-26 |
| 1114316627 | Yah Ortho Inc | Dentist | 2603 Vinewood Ln, Pueblo, CO 81005-3370 | 2015-01-21 |
| 1356759054 | Southern Colorado Orthodontics, Pllc | Dentist | 3955 Sandalwood Ln, Pueblo, CO 81005-2586 | 2014-07-25 |
| Find all providers in PUEBLO | ||||
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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.