Organization Active NPI

Ear Nose and Throat of Colorado Springs PC

  • Otolaryngology Physician
  • Colorado Springs, CO
National Provider Identifier
1043295355
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
16439 Issued in CO
Legal business name
EAR NOSE AND THROAT OF COLORADO SPRINGS PC
Practice address
2403 N Union Blvd
Suite 103
Colorado Springs, CO 80909-1185
Phone
(712) 963-2502
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Thomas Dalsaso Sr.
Title
President
Phone
(719) 632-5020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 16439 CO Primary

Addresses

Primary practice location

2403 N Union Blvd
Suite 103
Colorado Springs, CO 80909-1185

Mailing address

2403 N Union Blvd
Suite 103
Colorado Springs, CO 80909-1185
Phone (712) 963-2502

Other identifiers 1

IdentifierTypeStateIssuer
01164391MedicaidCO

National Provider Directory

National Provider Directory

Locations

2403 N Union Blvd
Ste 103
Colorado Springs, CO 80909
Phone (719) 532-5020

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1043295355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 N UNION BLVD",
            "address_2": "SUITE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091185",
            "telephone_number": "712-963-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 N UNION BLVD",
            "address_2": "SUITE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091185",
            "telephone_number": "712-963-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE AND THROAT OF COLORADO SPRINGS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "DALSASO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-632-5020",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "16439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01164391",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.