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PEDIATRIC DENTAL GROUP OF WHEAT RIDGE
NPI 1043747900
Dentist - Pediatric Dentistry in Wheat Ridge, CO

Active since May 22, 2017
3555 LUTHERAN PKWY, SUITE 310, WHEAT RIDGE, CO 80033(303) 467-8888 Get Directions Write a Review

NPPES record last updated: May 22, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Dental Group Of Wheat Ridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC DENTAL GROUP OF WHEAT RIDGE (NPI 1043747900) is a healthcare organization registered as a pediatric dentistry in Wheat Ridge, Colorado and active in the NPI registry since May 2017. The organization lists Kristen Barden, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1043747900
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL GROUP OF WHEAT RIDGE
Location Address3555 LUTHERAN PKWY, SUITE 310Wheat Ridge, CO 80033-6021
Mailing Address3555 Lutheran Pkwy, Suite 310Wheat Ridge, CO 80033-6021
Phone(303) 467-8888
Organization SubpartYesParent: Pediatric Dental Group Of Colorado
Authorized OfficialKristen BardenPractice Manager · (303) 421-5437
Enumeration DateMay 22, 2017
✔ NPI 1043747900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in CO · 7843✔ Licensed in CO · 8332✔ Licensed in CO · 651✔ Licensed in CO · 10389
Definition
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.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 104994 (CO), 104928 (CO)
3555 LUTHERAN PKWY, Wheat Ridge, CO 80033
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Other Identifiers 6

Medicaid64351084CO
Medicaid02006518CO
Medicaid56483546CO
Medicaid81227078CO
Medicaid02078434CO
Medicaid38371847CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REBECCA L WIEBE M.D.
Surgery
3555 LUTHERAN PKWY, SUITE 380
WHEAT RIDGE, CO 80033
Jefferson County (303) 940-8200
JOYCE BENKO F-NP
Nurse Practitioner (Family)
3555 LUTHERAN PKWY, SUITE150
WHEAT RIDGE, CO 80033
Jefferson County (303) 940-1867
BRIELLE SMITH PA-C
Physician Assistant (Medical)
3555 LUTHERAN PKWY, SUITE 340
WHEAT RIDGE, CO 80033
Jefferson County (303) 996-6005
LARISSA ANN APPLEGATE MD
Pediatrics
3555 LUTHERAN PKWY, SUITE 200
WHEAT RIDGE, CO 80033
Jefferson County (720) 284-3700
MS. PAMELA FAE PENROSE PA
Physician Assistant
3555 LUTHERAN PKWY, STE 340
WHEAT RIDGE, CO 80033
Jefferson County (303) 005-9966
MS. JAIMES ELLEN VAIL MS,PA-C
Physician Assistant
3555 LUTHERAN PKWY, SUITE 340
WHEAT RIDGE, CO 80033
Jefferson County (303) 996-6005
NANCY A HOULDER MD LLC
Ophthalmology
3555 LUTHERAN PKWY, SUITE 120
WHEAT RIDGE, CO 80033
Jefferson County (303) 463-4634
HEATHER SCHOEN MD
Obstetrics & Gynecology
3555 LUTHERAN PKWY, SUITE 150
WHEAT RIDGE, CO 80033
Jefferson County (303) 940-1867

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Dental Group Of Wheat Ridge's NPI number?

The NPI number for Pediatric Dental Group Of Wheat Ridge is 1043747900. It was assigned to this organization in the NPPES registry on May 22, 2017.

Where is Pediatric Dental Group Of Wheat Ridge located?

Pediatric Dental Group Of Wheat Ridge is located at 3555 Lutheran Pkwy Suite 310, Wheat Ridge, CO 80033. The listed phone number is (303) 467-8888.

What is Pediatric Dental Group Of Wheat Ridge's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Group Of Wheat Ridge was last updated on May 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.