NPIMap

Organization Active NPI

Yah Ortho Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Canon City, CO
National Provider Identifier
1033045679
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
YAH ORTHO INC
Practice address
1201 Royal Gorge Blvd Ste a
Canon City, CO 81212-3835
Phone
(719) 564-6464
NPI assigned
Jun 22, 2026
Organization subpart
Yes
Parent organization
YAH ORTHO INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Renee Constuble
Title
Business Manager
Phone
(719) 564-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1201 Royal Gorge Blvd Ste a
Canon City, CO 81212-3835

Mailing address

3821 W Pueblo Blvd
Pueblo, CO 81005-2713

National Provider Directory

National Provider Directory
Tax ID family
Yah Ortho Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1201 Royal Gorge Blvd
Ste A
Canon City, CO 81212

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1033045679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 W PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ROYAL GORGE BLVD STE A",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123835",
            "telephone_number": "719-564-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAH ORTHO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YAH ORTHO INC",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "CONSTUBLE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "719-564-6464"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.