OrganizationActive
Otter Kids Pediatric Dentistry PLLC
NPI 1588486575 · Pediatric Dentistry · Colorado Springs, CO
Otter Kids Pediatric Dentistry PLLC is a Pediatric Dentistry organization in Colorado Springs, CO (NPI 1588486575).
Provider details
- NPI number
- 1588486575
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kenneth Otterstedt, Owner(719) 867-5500
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1155 Kelly Johnson Blvd
Ste 210
Colorado Springs, CO 80920
Phone: (719) 867-0550
Fax: (719) 867-3191
Street-level locationGet directions
Mailing address
1294 Oakmont Dr
Colorado Springs, CO 80921-3762
Registry dates
- Enumerated
- 2024-10-30
- Last updated
- 2024-10-30
- Certified
- 2024-10-25
Frequently asked questions
- What is Otter Kids Pediatric Dentistry PLLC's NPI number?
- Otter Kids Pediatric Dentistry PLLC's National Provider Identifier (NPI) is 1588486575, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Otter Kids Pediatric Dentistry PLLC?
- Otter Kids Pediatric Dentistry PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Otter Kids Pediatric Dentistry PLLC located?
- Otter Kids Pediatric Dentistry PLLC's practice location on file with NPPES is 1155 Kelly Johnson Blvd, Colorado Springs, CO 80920.
- What is Otter Kids Pediatric Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Otter Kids Pediatric Dentistry PLLC is (719) 867-0550.
- Who is the authorized official for Otter Kids Pediatric Dentistry PLLC?
- The authorized official listed on Otter Kids Pediatric Dentistry PLLC's NPPES record is Kenneth Otterstedt, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Otter Kids Pediatric Dentistry PLLC's NPI active?
- Yes — Otter Kids Pediatric Dentistry PLLC's NPI (1588486575) is active in the NPPES registry as of the last update on 2024-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.