KIDS TOOTH DOC - PARKER (NPI# 1356800783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356800783 |
| Entity Type | Organization |
| Organization Name | KIDS TOOTH DOC - PARKER |
| Practice Address |
18801 E Mainstreet Parker CO 80134-3473 |
| Practice Telephone | 3039477705 |
| Mailing Telephone | 3039477705 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | BRIAN FOX (MANAGER) |
| Authorized Official Telephone | 3039477705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Kids Tooth Doc - Parker, LLC | 18801 E. Mainstreet, Suite 150, Parker, CO 80134 |
| Street Address |
18801 E MAINSTREET |
| City | PARKER |
| State | CO |
| Zip Code | 80134-3473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720240005 | Marc Thomas | Dentist | 18801 E Mainstreet, Ste 150, Parker, CO 80134-3473 | 2008-06-27 |
| 1801283551 | Sheila D Barnes Lee | Counselor | 18801 E Mainstreet, Suite 180, Parker, CO 80134-3473 | 2015-04-21 |
| 1316389257 | Hearing Rehabilitation Center Inc | Audiologist | 18801 E Mainstreet, Unit 185, Parker, CO 80134-3473 | 2013-07-19 |
| 1306183736 | Marc D. Thomas Dds, PC | Dentist | 18801 E Mainstreet, Ste 150, Parker, CO 80134-3473 | 2013-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821560731 | Michaela Cox | Massage Therapist | 18551 E Mainstreet #103, Suite 15, Parker, CO 80134 | 2018-12-18 |
| 1376038315 | Danielle Rene Adamson | Audiologist | 11211 South Bransfeltd Road, Parker, CO 80134 | 2018-06-22 |
| 1316431042 | Michael Petrie | Massage Therapist | 10841 S Crossroads Drive, Suite 17, Parker, CO 80134 | 2018-06-16 |
| 1942729942 | Anthony Bricker | Specialist/Technologist | 5303 Territorial Street, Parker, CO 80134 | 2017-09-12 |
| 1609394238 | Mountain Peak Counseling | Counselor | 12760 Stroh Ranch Way Suite 201, Parker, CO 80134 | 2017-09-04 |
| 1013448497 | Cvs Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 16920 Lincoln Ave, Parker, CO 80134 | 2017-03-27 |
| 1043759921 | Timothy Michael Loar | Physical Therapist | 19964 E. Hilltop Rd, Suite B, Parker, CO 80134 | 2017-02-13 |
| 1851842835 | Carla S Bradburn | Counselor | 9581 Pearl Circle, #105, Parker, CO 80134 | 2016-10-14 |
| 1942653258 | West Coast Neuro | Specialist/Technologist, Other | 10940 S Parker Rd # 503, Parker, CO 80134 | 2016-07-21 |
| 1487036950 | Amber Abrams | Nurse Practitioner | 4251 Twenty Mile Rd, Parker, CO 80134 | 2015-06-22 |
| Find all providers in zip 80134 | ||||
| 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 |
|---|---|---|---|---|
| 1720240005 | Marc Thomas | Dentist | 18801 E Mainstreet, Ste 150, Parker, CO 80134-3473 | 2008-06-27 |
| 1639196280 | Robert A. Boraz, D.d.s., P.C. | Dentist | 18801 E Main St, Suite 150, Parker, CO 80134-3473 | 2006-07-17 |
| 1407494321 | Little Rockies Kids Dental. LLC | Dentist | 10371 Parkglenn Way Ste 260, Parker, CO 80138-3872 | 2019-12-11 |
| 1083006357 | Kathryn Mccaa Hiegert | Dentist | 10371 Parkglenn Way Ste 260, Parker, CO 80138-3872 | 2015-02-24 |
| 1487087326 | Little Rockies Pediatric Dentistry | Dentist | 10371 Parkglenn Way, Suite 260, Parker, CO 80138-3885 | 2013-08-14 |
| 1306183736 | Marc D. Thomas Dds, PC | Dentist | 18801 E Mainstreet, Ste 150, Parker, CO 80134-3473 | 2013-01-04 |
| 1497025472 | Beth L Nielsen | Dentist | 16830 Northgate Dr, Suite 100, Parker, CO 80134-5778 | 2012-01-06 |
| 1568584340 | Beth L Nielsen | Dentist | 16830 Northgate Dr, Suite 100, Parker, CO 80134-5778 | 2007-04-04 |
| 1396852166 | Kathryn Kutter Kaelin | Dentist | 19700 E Parker Square Dr, Parker, CO 80134-7301 | 2006-08-25 |
| 1780605881 | Ross Neil Hugues | Dentist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2006-07-22 |
| Find all providers in PARKER | ||||
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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.