Organization Active NPI

Monument Dental Professionals LLC

Doing business as Comfort Dental

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1063647584
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9788 Issued in CO
Legal business name
MONUMENT DENTAL PROFESSIONALS LLC
Doing business as
Comfort Dental
Comfort Dental Interquest
Practice address
1258 Interquest Pkwy
Colorado Springs, CO 80921-4183
Phone
(719) 484-0043
Fax
(719) 487-3153
NPI assigned
May 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Authorized official

Name
Ms. Cindy Bosch
Title
Receptionist
Phone
(719) 484-0043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9788 CO Primary

Addresses

Primary practice location

1258 Interquest Pkwy
Colorado Springs, CO 80921-4183

Mailing address

1258 Interquest Pkwy
Colorado Springs, CO 80921-4183
Phone (719) 484-0043

Other names 2

  • Comfort Dental Doing business as
  • Comfort Dental Interquest Doing business as

National Provider Directory

National Provider Directory

Locations

1258 Interquest Pkwy
Colorado Springs, CO 80921
Phone (719) 484-0043

556 W Highway 105
Monument, CO 80132
Phone (719) 484-0043

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1063647584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 INTERQUEST PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809214183",
            "telephone_number": "719-484-0043",
            "fax_number": "719-487-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 INTERQUEST PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809214183",
            "telephone_number": "719-484-0043",
            "fax_number": "719-487-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT DENTAL PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "BOSCH",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "719-484-0043",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comfort Dental Interquest",
            "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 13, 2019; 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.