Active NPI
Kim M. Look, DDS
- General Practice Dentistry
- Colorado Springs, CO
National Provider Identifier
1053579144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6211
- Legal business name
- KIM M. LOOK, DDS
- Practice address
- 1885 S Academy Blvd
Colorado Springs, CO 80916-4511 - Phone
- (719) 392-3448
- Fax
- (719) 392-3449
- NPI assigned
- May 27, 2008
- 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
- Dr. Kim M Look, DDS
- Title
- Dentist/Owner
- Phone
- (719) 392-3448
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6211 | CO | Primary |
Addresses
Primary practice location
1885 S Academy Blvd
Colorado Springs, CO 80916-4511
Mailing address
1885 S Academy Blvd
Colorado Springs, CO 80916-4511
Phone (719) 392-3448
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6211 | Other | CO | DELTA DENTAL CO |
| 6211 | Other | CO | AETNA |
| 466338 | Other | CO | UNITED CONCORDIA |
| 6211 | Other | CO | DELTA DENTAL USA |
National Provider Directory
National Provider DirectoryLocations
1885 S Academy Blvd
Colorado Springs, CO 80916
Phone (719) 392-3448
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Colorado Springs, CO
- NPI 1023043981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211846400000",
"number": "1053579144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1885 S ACADEMY BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809164511",
"telephone_number": "719-392-3448",
"fax_number": "719-392-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 S ACADEMY BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809164511",
"telephone_number": "719-392-3448",
"fax_number": "719-392-3449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIM M. LOOK, DDS",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-27",
"last_updated": "2008-05-27",
"status": "A",
"authorized_official_last_name": "LOOK",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "719-392-3448",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "6211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL CO",
"identifier": "6211",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "6211",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "466338",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL USA",
"identifier": "6211",
"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 May 27, 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.