McCombs Periodontics LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DEN.00202187 Issued in CO

Legal business name

MCCOMBS PERIODONTICS LLC

Practice address

13335 Voyager Pkwy
Suite 130
Colorado Springs, CO 80921-7657

Phone

(719) 368-0950

NPI assigned

Jul 10, 2014

Organization subpart

No

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

Authorized official

Name

Joseph K McCombs

Title

Doctor

Phone

(719) 368-0950

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1053727024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13335 VOYAGER PKWY",
            "address_2": "SUITE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217657",
            "telephone_number": "719-368-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13335 VOYAGER PKWY",
            "address_2": "SUITE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217657",
            "telephone_number": "719-368-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOMBS PERIODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "MCCOMBS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "719-368-0950"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "DEN.00202187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Lynn McCollett, CBE, CLD, CLE
• Akayla McCollum
• Joshua McCollum
• Madelyn McCollum
• Phyllis McComb, MA, LPC, NCC
• Chloe McCombs
• Ramona J McConkie
• Eleanor McConnell, MA, LPCC
• Grace McConnell
• Lydia R McConnell, RDH

• Periodontics in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Periodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.