MEDICARE: EMBRACEKIDS, A PROFESSIONAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	9224	CO
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	9257	CO
3	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	6889	CO

General Provider Information

NPI Number	:	1710207410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMBRACEKIDS, A PROFESSIONAL LLC

Provider Business Mailing Address
First Line	:	2020 WADSWORTH BLVD
Second Line	:	SUITE 18-A
City	:	LAKEWOOD
State	:	CO
Zip	:	80214-5728
Country	:	US
Telephone Number	:	303-462-1462
Fax Number	:	303-997-5646

Provider Business Practice Location Address
First Line	:	1015 S TAFT HILL RD
Second Line	:	UNIT Q
City	:	FORT COLLINS
State	:	CO
Zip	:	80521-4240
Country	:	US
Telephone Number	:	970-980-2145
Fax Number	:	970-980-2142

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	YVETTE MENDEZ
Credential	:
Telephone Number	:	303-462-1462

Provider Enumeration Date	:	06/03/2010
Last Update Date	:	02/27/2013

Similar Medicare Providers

1265621379 — ELAINE C ROMERO PHARMD
Practice Location Address:

1015 S TAFT HILL RD
FORT COLLINS, CO
80521-4240

Practice Phone: 970-221-4940
Practice Fax:

1992010144 — DR. TIMOTHY C HARDY DMD
Practice Location Address:

1015 S TAFT HILL RD , SUITE Q
FORT COLLINS, CO
80521-4240

Practice Phone: 970-980-2145
Practice Fax: 970-980-2142

1710282793 — ABSOLUTE DENTAL, P.C.
Practice Location Address:

1015 S TAFT HILL RD
FORT COLLINS, CO
80521-4240

Practice Phone: 970-482-6034
Practice Fax: 970-980-2143

1407135478 — DR. DOUGLAS KAI VORIS DDS
Practice Location Address:

1015 S TAFT HILL RD
FORT COLLINS, CO
80521-4240

Practice Phone: 970-582-6034
Practice Fax: 970-980-2143

1619305257 — HARDY DENTAL SPECIALISTS, PC
Practice Location Address:

1015 S TAFT HILL RD , UNIT Q
FORT COLLINS, CO
80521-4240

Practice Phone: 970-980-2145
Practice Fax: 970-980-2142

1255706115 — ALPINE WEST FORT COLLINS LLC
Practice Location Address:

1015 S TAFT HILL RD
FORT COLLINS, CO
80521-4240

Practice Phone: 970-482-6034
Practice Fax:

Directions to “EMBRACEKIDS, A PROFESSIONAL LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.