CHILDREN'S DENTAL CENTER (NPI# 1952565996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952565996 |
Entity Type | Organization |
Organization Name | CHILDREN'S DENTAL CENTER |
Other Organization Name | JOHN R, SEXTON |
Practice Address |
2323 South Wadsworth Blvd Suite #104 Lakewood CO 80227 |
Practice Telephone | 3039849700 |
Practice Fax Number | 3039852490 |
Mailing Telephone | 3039849700 |
Mailing Fax Number | 3039852490 |
Enumeration Date | 2008-07-17 |
Last Update Date | 2018-06-21 |
Authorized Official Name | MRS. VALERIE LOPEZ (MANAGER) |
Authorized Official Telephone | 3039849700 |
Is Organization Subpart | Y |
Parent Organization Name | JOHN R, SEXTON |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 04104709 | 05 | |
CO | 02047082 | 05 | |
CO | 39009777 | 05 |
Other Name | Type Code |
---|---|
John R, Sexton | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306389267 | Children's Dental Center | Clinic/Center | 9885 E 116th St, Ste 100, Fishers, IN 46037-9241 | 2016-11-28 |
1366716169 | Children's Dental Center | Dentist | 1 Professional Park Dr, Webster, TX 77598-4123 | 2012-02-27 |
1215179148 | Children's Dental Center | Dentist | 2323 S Wadsworth Blvd, Suite # 104, Lakewood, CO 80227-3275 | 2009-03-24 |
1497996219 | Children's Dental Center | Dentist | 2085 Village Center Cir, Suite 120, Las Vegas, NV 89134-6262 | 2009-03-09 |
1225275282 | Children's Dental Center | Dentist | 7975 Allison Way, Arvada, CO 80005-4428 | 2009-01-13 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | CHILDREN'S DENTAL CENTER OF CENTRAL IOWA, P.L.C. | 2401 128th Street, Urbandale, IA 50323 |
Street Address |
2323 SOUTH WADSWORTH BLVD SUITE #104 |
City | LAKEWOOD |
State | CO |
Zip Code | 80227 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326541947 | Caroline Nicole Desjardins | Counselor | 2460 W 26th Ave Bldg C Ste 217, Denver, CO 80227 | 2018-03-09 |
1689024986 | Ethan Daniel Light | Audiologist | 10881 W. Asbury Ave., Suite 110, Lakewood, CO 80227 | 2016-06-16 |
1124476098 | Rachel Patterson | Nurse Practitioner | 3190 S Wadsworth Blvd Ste 250, Lakewood, CO 80227 | 2016-06-01 |
1326425901 | Lisa Myers | Social Worker | 2050 S Kipling St, Lakewood, CO 80227 | 2015-05-02 |
1497174619 | Pamela Ann Gunn | Registered Nurse | 10631 W. Vassar Place, Lakewood, CO 80227 | 2014-04-15 |
1336588912 | Ashlie Bell | Social Worker | 3333 S Wadsworth Blvd Ste 160, Lakewood, CO 80227 | 2013-06-18 |
1326336678 | Anna C Ferman | Registered Nurse | 10035 W Dartmouth Ave C207, Lakewood, CO 80227 | 2011-07-20 |
1124353701 | Katherine Ream Palomino | Nurse Anesthetist, Certified Registered | 3333 S. Wadsworth Blvd, #d-100, Lakewood, CO 80227 | 2009-10-15 |
1457502205 | National Institute for Change, P.C. | Community/Behavioral Health | 3225 S Wadsworth Blvd, Unit T, Lakewood, CO 80227 | 2008-10-09 |
1326210600 | Jennifer Ann Mcintosh | Specialist | 2195 South Field Way, Lakewood, CO 80227 | 2008-03-27 |
Find all providers in zip 80227 |
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 |
---|---|---|---|---|
1225575566 | Babak Yousefi Dental Corporation | Dentist | 4134 Woodruff Ave, Lakewood, CA 90713-3141 | 2017-01-25 |
1356762918 | Pediatric Dental Group At Kids First | Dentist | 96 Wadsworth Blvd Unit 150, Lakewood, CO 80226-1512 | 2013-12-30 |
1720214638 | Pediatric Dental Group of Lakewood | Dentist | 3333 S Wadsworth Blvd Unit B104, Lakewood, CO 80227-5120 | 2009-06-05 |
1528186137 | Daniel H. Cook | Dentist | 6015 100th St Sw, Lakewood, WA 98499-2754 | 2007-03-26 |
1417059478 | Jan Ray Carlson | Dentist | 133 E Fairmount Ave Ste 1, Lakewood, NY 14750-1950 | 2006-09-01 |
1104892421 | Brett Wohlstetter | Dentist | 1328 Route 9, Lakewood, NJ 08701-5645 | 2006-02-27 |
1639155336 | Lakewood Pediatric Dental Associates | Dentist | 1328 Route 9 South, Suite 11 & 12, Lakewood, NJ 08701-5645 | 2005-12-15 |
1417499500 | Lakewood Pediatric Dentistry Pllc | Dentist | 133 E Fairmount Ave Ste 1, Lakewood, NY 14750-1950 | 2016-11-07 |
1942681069 | Avi Willis | Dentist | 870 River Ave, Lakewood, NJ 08701-5280 | 2015-06-15 |
1841619210 | Aleem Noormohamed | Dentist | 6015 100th St Sw, Lakewood, WA 98499 | 2014-04-14 |
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.