MEDICARE: KMH ORTHODONTICS, PLLC

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

General Provider Information

NPI Number	:	1295487148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KMH ORTHODONTICS, PLLC

Provider Business Mailing Address
First Line	:	125 INVERNESS DR E STE 300
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80112-5139
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 INVERNESS DR E STE 300
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80112-5139
Country	:	US
Telephone Number	:	303-779-5306
Fax Number	:

Authorized Official
Title or Position	:	ORTHODONTIST
Name	:	DR. BRANDON SCHEER
Credential	:	DDS, MSD
Telephone Number	:	316-706-9318

Provider Enumeration Date	:	01/21/2022
Last Update Date	:	04/05/2022

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