OTTER KIDS PEDIATRIC DENTISTRY PLLC
NPI 1588486575
Dentist - Pediatric Dentistry in Colorado Springs, CO

NPI Status: Active since October 30, 2024

Contact Information

1155 KELLY JOHNSON BLVD
STE 210
COLORADO SPRINGS, CO
ZIP 80920
Phone: (719) 867-0550
Fax: (719) 867-3191

Get Directions Reviews

  • Organization
  • Dentist
  • Pediatric Dentistry

About OTTER KIDS PEDIATRIC DENTISTRY PLLC

This page provides the complete NPI Profile along with additional information for Otter Kids Pediatric Dentistry Pllc, a provider established in Colorado Springs, Colorado operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1588486575 assigned on October 2024. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Kenneth John Otterstedt Dds (Owner)

NPI
1588486575
Provider Name
OTTER KIDS PEDIATRIC DENTISTRY PLLC
Entity Type
Organization
Location Address
1155 KELLY JOHNSON BLVD STE 210 COLORADO SPRINGS, CO 80920
Location Phone
(719) 867-0550
Location Fax
(719) 867-3191
Mailing Address
1294 OAKMONT DR COLORADO SPRINGS, CO 80921
Mailing Phone
(719) 867-0550
Mailing Fax
(719) 867-3191
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-30-2024
Last Update Date
10-30-2024
Code Navigator

A dentist like Otter Kids Pediatric Dentistry Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KENNETH JOHN OTTERSTEDT DDS

Authorized Official Title
OWNER
Authorized Official Phone
(719) 867-5500

Reviews for OTTER KIDS PEDIATRIC DENTISTRY PLLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588486575
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251688812514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 8 + 8 + 1 + 2 + 5 + 1 + 4 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1588486575 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366427825DR. BRUCE JOHN ZIMMERMAN DDS
Individual
Dentist1155 KELLY JOHNSON BLVD SUITE 210
COLORADO SPRINGS, CO 80920
(719) 593-9100
1124111406DR. SCOTT ALLAN DRAPER D.D.S., M.S.
Individual
Dentist (Prosthodontics)1155 KELLY JOHNSON BLVD SUITE 210
COLORADO SPRINGS, CO 80920
(719) 532-1007
1407029374HOME HEALTHCARE SERVICES OF THE ROCKIES INC
Organization
Home Health1155 KELLY JOHNSON BLVD SUITE 111
COLORADO SPRINGS, CO 80920
(719) 590-4132
1528382512HAVEN CORPORATION
Organization
Community/Behavioral Health1155 KELLY JOHNSON BLVD SUITE 111
COLORADO SPRINGS, CO 80920
(719) 590-4124
1760779367THE BEHAVIOR PROJECT, LLC
Organization
Behavior Analyst1155 KELLY JOHNSON BLVD SUITE 111
COLORADO SPRINGS, CO 80920
(719) 313-2709
1881954691 NICOLE JEANNINE FORBERG B.A
Individual
Counselor (Mental Health)1155 KELLY JOHNSON BLVD SUITE 111
COLORADO SPRINGS, CO 80920
(719) 590-4124
1992973325MS. JOANNE CROWLEY HODSON NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)1155 KELLY JOHNSON BLVD STE 206
COLORADO SPRINGS, CO 80920
(719) 299-5990
1831593318SHADOW MOUNTAIN BEHAVIORAL HEALTH LLC.
Organization
Clinic/Center (Adult Mental Health)1155 KELLY JOHNSON BLVD SUITE 206
COLORADO SPRINGS, CO 80920
(719) 229-5990
1275997256 CAITLYN CANFIELD
Individual
Behavior Analyst1155 KELLY JOHNSON BLVD 150
COLORADO SPRINGS, CO 80920
(719) 354-2582
1346787181SHADOW MOUNTAIN RECOVERY
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)1155 KELLY JOHNSON BLVD
COLORADO SPRINGS, CO 80920
(615) 299-6661
1801226709SHADOW MOUNTAIN LLC.
Organization
Substance Abuse Rehabilitation Facility1155 KELLY JOHNSON BLVD SUITE 201
COLORADO SPRINGS, CO 80920
(719) 418-3737
1790219947MRS. SHIRLANE DIANE WINBURN BS PSYCHOLOGY
Individual
Behavior Analyst1155 KELLY JOHNSON BLVD STE 150
COLORADO SPRINGS, CO 80920
(910) 977-7744
1215443619 LYNN M GILBERT
Individual
Behavior Technician1155 KELLY JOHNSON BLVD
COLORADO SPRINGS, CO 80920
(719) 415-7022
1538659784 JANESSA YBARRA
Individual
Behavior Technician1155 KELLY JOHNSON BLVD
COLORADO SPRINGS, CO 80920
(719) 691-0126
1922565480MISS ALICIA VASHTI JACOBSON RBT
Individual
Behavior Technician1155 KELLY JOHNSON BLVD
COLORADO SPRINGS, CO 80920
(719) 354-2582
1881131852MUSTARD SEED HEALTHCARE CONSULTING, LLC
Organization
Ambulance1155 KELLY JOHNSON BLVD SUITE 111
COLORADO SPRINGS, CO 80920
(719) 246-4243
1770712424 MICHAEL SCOTT PECK DPM
Individual
Podiatrist1155 KELLY JOHNSON BLVD #310
COLORADO SPRINGS, CO 80920
(719) 574-9800
1851769152 TEAGUE GEARHART D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)1155 KELLY JOHNSON BLVD
COLORADO SPRINGS, CO 80920
(719) 574-9800
16894270074TRUEHEALTH INC
Organization
Chiropractor (Nutrition)1155 KELLY JOHNSON BLVD STE 111-4TH
COLORADO SPRINGS, CO 80920
(719) 785-4840

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588486575, enumerated in the NPI registry as an "organization" on October 30, 2024

The provider is located at 1155 Kelly Johnson Blvd Ste 210 Colorado Springs, Co 80920 and the phone number is (719) 867-0550

This medical organization specializes in Dentist with taxonomy code 1223P0221X with a focus in Pediatric Dentistry

This NPI record was last updated on October 30, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.