DR. KYLA RENEA FANT (NPI# 1629207717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629207717 |
| Entity Type | Individual |
| Full Name | DR. KYLA RENEA FANT |
| Credential | D.D.S. |
| Practice Address |
2020 Wadsworth Blvd Ste 9 Lakewood CO 80214-5728 |
| Mailing Address |
7166 W Custer Ave #c-327 Lakewood CO 80226-2781 |
| Practice Telephone | 3034311221 |
| Mailing Telephone | 5125857395 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2010-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9909 | CO | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
24647 | TX | Dental Providers |
| Street Address |
2020 WADSWORTH BLVD STE 9 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80214-5728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609869528 | Edra Blackburn Weiss | Pediatrics | 2020 Wadsworth Blvd, Ste 16, Lakewood, CO 80214-5730 | 2005-08-25 |
| 1902323637 | Brett Wolff | Community/Behavioral Health | 2020 Wadsworth Blvd, Lakewood, CO 80214-5728 | 2017-08-24 |
| 1740730621 | American Transit Express | Non-emergency Medical Transport (VAN) | 2020 Wadsworth Blvd, Unit 15, Lakewood, CO 80214-5728 | 2016-10-04 |
| 1427407766 | Royal Adult Day Center | Voluntary or Charitable | 2020 Wadsworth Blvd, Unit 15, Lakewood, CO 80214-5728 | 2016-06-07 |
| 1578964771 | Lauren Sterner | Nurse Practitioner | 2020 Wadsworth Blvd, Suite Number 16, Lakewood, CO 80214-5728 | 2014-09-08 |
| 1609215094 | Alicia Bourassa Hudson | Pediatrics | 2020 Wadsworth Blvd, # 16, Lakewood, CO 80214-5728 | 2013-06-18 |
| 1366747438 | Jill Barbara Meyer | Nurse Practitioner | 2020 Wadsworth Blvd, Suite 16, Lakewood, CO 80214-5728 | 2011-01-20 |
| 1043515240 | Madeline Louise Nichols | Nurse Practitioner | 2020 Wadsworth Blvd, Suite 16, Lakewood, CO 80214-5728 | 2011-01-19 |
| 1609171271 | Gail Nelson Griffin | Nurse Practitioner | 2020 Wadsworth Blvd, Suite 16, Lakewood, CO 80214-5728 | 2011-01-12 |
| 1790944585 | Embrace Kids, A Professional LLC | Dentist | 2020 Wadsworth Blvd, Suite 18a, Lakewood, CO 80214-5728 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266128 | Audra Perez | Social Worker | 1750 Pierce Street Suite C, Lakewood, CO 80214 | 2019-07-08 |
| 1508347758 | Robin Noel Mackin | Speech-Language Pathologist | 2401 Lamar Street, Edgewater, CO 80214 | 2018-08-26 |
| 1932636065 | Tamika Thomas | Counselor | 950 Wadsworth Blvd Ste 203, Lakewood, CO 80214 | 2017-05-19 |
| 1902353568 | Holly Carpenter | Counselor | 1410 Vance St, Lakewood, CO 80214 | 2016-09-01 |
| 1285094672 | Danijela Jankovic | Dentist | 7611 W.colfax Avenue, Suite D, Lakewood, CO 80214 | 2016-02-29 |
| 1053784207 | Dale Kim | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214 | 2015-11-10 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1265879498 | Diana M Arvizo | Occupational Therapy Assistant | 1685 Eaton St., Lakewood, CO 80214 | 2013-05-29 |
| 1528332731 | Jennifer Anderson | Physical Therapist | 5354 W 25th Ave, Edgewater, CO 80214 | 2012-03-06 |
| Find all providers in zip 80214 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386706 | Westgate Family Dentistry | Dentist | 2323 S Wadsworth Blvd Ste 109, Lakewood, CO 80227-3254 | 2020-08-12 |
| 1467076034 | Cornelius Joseph Osullivan | Dentist | 13616 Madison Ave, Lakewood, OH 44107-4709 | 2020-05-30 |
| 1245870336 | My Local Colorado Dental Practice, LLC | Dentist | 264 Union Blvd Ste 200, Lakewood, CO 80228-1970 | 2020-01-07 |
| 1265082366 | Leong and Pandhoh Dental Corporation | Dentist | 2710 Carson St, Lakewood, CA 90712-4051 | 2019-09-19 |
| 1598319550 | Golnaz Sadat Samimifar | Dentist | 325 S Teller St Ste 280, Lakewood, CO 80226-7389 | 2019-07-29 |
| 1861044232 | Bryce Jeffrey Plancich | Dentist | 5726 100th St Sw, Lakewood, WA 98499-2730 | 2019-07-15 |
| 1578122628 | Marc Joseph Salme | Dentist | 386 E Fairmount Ave, Lakewood, NY 14750-2130 | 2019-06-12 |
| 1376023101 | Edward J Wang | Dentist | 5606 Lakewood Towne Center Blvd Sw Ste B, Lakewood, WA 98499-3894 | 2018-08-21 |
| 1740649839 | Justin Ford Becerra | Dentist | 2323 S Wadsworth Blvd Ste 1778, Lakewood, CO 80227-3274 | 2016-02-17 |
| 1740657378 | Timothy M. Schroeder Dds | Dentist | 6565 W Jewell Ave Ste 3, Lakewood, CO 80232-7102 | 2015-08-31 |
| Find all providers in LAKEWOOD | ||||
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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.