NPIMap

Organization Active NPI

Ortho Limited Liability Company, Professional LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colorado Springs, CO
National Provider Identifier
1053560425
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7582 Issued in CO
Legal business name
ORTHO LIMITED LIABILITY COMPANY, PROFESSIONAL LLC
Doing business as
All Smiles Orthodontix
Practice address
3715 Bloomington St
Suite 160
Colorado Springs, CO 80922-3204
Phone
(719) 599-0665
Fax
(719) 599-0591
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Mr. Benjamin M Rathke
Title
Team Leader
Phone
(719) 599-0665

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 7582 CO Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 7606 CO

Addresses

Primary practice location

3715 Bloomington St
Suite 160
Colorado Springs, CO 80922-3204

Mailing address

3715 Bloomington St
Suite 160
Colorado Springs, CO 80922-3204
Phone (719) 599-0665

Other names 1

  • All Smiles Orthodontix Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1053560425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 BLOOMINGTON ST",
            "address_2": "SUITE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809223204",
            "telephone_number": "719-599-0665",
            "fax_number": "719-599-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 BLOOMINGTON ST",
            "address_2": "SUITE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809223204",
            "telephone_number": "719-599-0665",
            "fax_number": "719-599-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO LIMITED LIABILITY COMPANY, PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "RATHKE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TEAM LEADER",
        "authorized_official_telephone_number": "719-599-0665",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "7582",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "7606",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Smiles Orthodontix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 10, 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.