Active NPI
Ear Nose and Throat of Colorado Springs PC
- Otolaryngology Physician
- Colorado Springs, CO
National Provider Identifier
1043295355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 16439
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01164391 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.