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CONIFER PEDIATRICS
NPI 1265929814
Pediatrics in Conifer, CO

Active since April 19, 2018
26719 PLEASANT PARK RD UNIT 120, CONIFER, CO 80433(303) 838-7337(303) 816-6387 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Conifer Pediatrics NPPES

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

CONIFER PEDIATRICS (NPI 1265929814) is a healthcare organization registered as a pediatrics in Conifer, Colorado and active in the NPI registry since April 2018. The organization lists Kenneth John Kutalek, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1265929814
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCONIFER PEDIATRICS
Location Address26719 PLEASANT PARK RD UNIT 120Conifer, CO 80433-7753
Mailing Address30960 Stagecoach Blvd # W-120Evergreen, CO 80439-7902 · (303) 674-6671 · Fax (303) 674-0031
Phone(303) 838-7337
Fax(303) 816-6387
Organization SubpartYesParent: Evergreen Pediatrics Llc
Authorized OfficialKenneth John KutalekOwner/physician · (303) 674-6671
Enumeration DateApril 19, 2018
✔ NPI 1265929814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CO · 26133
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
26719 PLEASANT PARK RD UNIT 120, Conifer, CO 80433
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

CHILDREN'S TRAUMA CENTER, LLC
Community/Behavioral Health
26719 PLEASANT PARK RD UNIT 120
CONIFER, CO 80433
Jefferson County (720) 262-1279
KAREN RENEE BLACKWELL LCSW
Social Worker (Clinical)
26719 PLEASANT PARK RD UNIT 120
CONIFER, CO 80433
Jefferson County (720) 262-1279

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 Conifer Pediatrics's NPI number?

The NPI number for Conifer Pediatrics is 1265929814. It was assigned to this organization in the NPPES registry on April 19, 2018.

Where is Conifer Pediatrics located?

Conifer Pediatrics is located at 26719 Pleasant Park Rd Unit 120, Conifer, CO 80433. The listed phone number is (303) 838-7337.

What is Conifer Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Conifer Pediatrics was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.