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ACADEMY KIDS DENTAL VISION AND ORTHODONTICS
NPI 1639339930
Clinic/Center in Colorado Springs, CO

Active since June 11, 2008
2436 S ACADEMY BLVD, COLORADO SPRINGS, CO 80916(719) 391-2336(719) 391-1625 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2021, Nov 23, 2020, Apr 11, 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 1639339930) is a healthcare organization registered as a clinic/center in Colorado Springs, Colorado and active in the NPI registry since June 2008. The organization lists Samantha B Leblanc, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1639339930
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameACADEMY KIDS VISION CENTER LLC
Location Address2436 S ACADEMY BLVDColorado Springs, CO 80916-2408
Mailing Address2221 E Bijou St., Ste. 100Colorado Springs, CO 80909 · (719) 391-2336 · Fax (719) 391-1625
Phone(719) 391-2336
Fax(719) 391-1625
Organization SubpartNo
Authorized OfficialSamantha B LeblancCredentialing Specialist · (719) 323-2372
Enumeration DateJune 11, 2008
Last NPPES UpdateApril 29, 20213 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
✔ NPI 1639339930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedOptometristTaxonomy 152W00000X
2436 S ACADEMY BLVD, Colorado Springs, CO 80916
Open in Google Maps ↗

Other Names 1

Doing Business AsAcademy Kids Dental Vision And Orthodontics

Other Identifiers 1

Medicaid25100343CO

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

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. YASUFUMI YAMAZAKI D.D.S.
Dentist
2436 S ACADEMY BLVD
COLORADO SPRINGS, CO 80916
El Paso County (719) 331-2336
DR. RONALD MONTANO DDS
Dentist (General Practice)
2436 S ACADEMY BLVD
COLORADO SPRINGS, CO 80916
El Paso County (719) 391-2336
DR. LUCAS R CASTILLO
Dentist
2436 S ACADEMY BLVD
COLORADO SPRINGS, CO 80916
El Paso County (719) 391-2336
DR. DAYLE HARTGERINK D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
2436 S ACADEMY BLVD
COLORADO SPRINGS, CO 80916
El Paso County (719) 391-2336
DR. MALCOLM DAVIS D.D.S.
Dentist (Pediatric Dentistry)
2436 S ACADEMY BLVD
COLORADO SPRINGS, CO 80916
El Paso County (313) 673-2318
DR. MARYHEN YOHISKA ARRIETA D.D.S.
Dentist
2436 S ACADEMY BLVD
COLORADO SPRINGS, CO 80916
El Paso County (719) 391-2336
DR. MARIO MONTANEZ DDS
Dentist
2436 S ACADEMY BLVD
COLORADO SPRINGS, CO 80916
El Paso County (719) 391-2336
DR. KACY YUJIRO KURIO DDS
Dentist
2436 S ACADEMY BLVD
COLORADO SPRINGS, CO 80916
El Paso County (719) 391-2336

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 Vision Center LLC's NPI number?

The NPI number for Academy Kids Vision Center LLC is 1639339930. It was assigned to this organization in the NPPES registry on June 11, 2008. The provider is doing business as Academy Kids Dental Vision And Orthodontics.

Where is Academy Kids Vision Center LLC located?

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

What is Academy Kids Vision Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Academy Kids Vision Center LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Academy Kids Vision Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Academy Kids Vision Center LLC was last updated on April 29, 2021. 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.