ACADEMY KIDS DENTAL, VISION AND ORTHODONTICS
NPI 1487683330
Dentist - General Practice in Colorado Springs, CO

Active since July 02, 2006
2436 S ACADEMY BLVD, COLORADO SPRINGS, CO 80916(719) 391-2336(719) 391-1625 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2020, Oct 22, 2019, Mar 30, 2018 (3 updates tracked since 2018).

About Academy Kids Dental, Vision And Orthodontics NPPES

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

ACADEMY KIDS DENTAL, VISION AND ORTHODONTICS (NPI 1487683330) is a healthcare organization registered as a general practice in Colorado Springs, Colorado and active in the NPI registry since July 2006. The organization lists Shaun Urbanozo, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1487683330
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameACADEMY KIDS DENTAL CENTER PC
Location Address2436 S ACADEMY BLVDColorado Springs, CO 80916-2408
Mailing Address2221 E Bijou St Ste 100Colorado Springs, CO 80909-8009 · (719) 955-8896 · Fax (719) 955-3470
Fax(719) 391-1625
Organization SubpartNo
Authorized OfficialShaun UrbanozoCredentialing Manager · (719) 323-2362
Enumeration DateJuly 2, 2006
Last NPPES UpdateNovember 18, 20203 updates tracked since enumeration
NPPES CertifiedNovember 18, 2020
NPI 1487683330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CO · 7992
Definition
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.
2436 S ACADEMY BLVD, Colorado Springs, CO 80916

Other Names 1

Doing Business AsAcademy Kids Dental, Vision And Orthodontics

Other Identifiers 2

Medicaid66286026CO
Other1630472CO · United Concordia Id

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 MULTIPLE SINGLE 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.

Dentist
2436 S ACADEMY BLVD
COLORADO SPRINGS, CO 80916
Dentist (General Practice)
2436 S ACADEMY BLVD
COLORADO SPRINGS, CO 80916
Dentist
2436 S ACADEMY BLVD
COLORADO SPRINGS, CO 80916
Dentist (Orthodontics and Dentofacial Orthopedics)
2436 S ACADEMY BLVD
COLORADO SPRINGS, CO 80916
Dentist (Pediatric Dentistry)
2436 S ACADEMY BLVD
COLORADO SPRINGS, CO 80916
Dentist
2436 S ACADEMY BLVD
COLORADO SPRINGS, CO 80916
Dentist
2436 S ACADEMY BLVD
COLORADO SPRINGS, CO 80916
Dentist
2436 S ACADEMY BLVD
COLORADO SPRINGS, CO 80916

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 Academy Kids Dental Center PC's NPI number?

The NPI number for Academy Kids Dental Center PC is 1487683330. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Academy Kids Dental, Vision And Orthodontics.

Where is Academy Kids Dental Center PC located?

Academy Kids Dental Center PC is located at 2436 S Academy Blvd, Colorado Springs, CO 80916. The listed phone number is (719) 391-2336.

What is Academy Kids Dental Center PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Academy Kids Dental Center PC was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.