Constitution Dental Group, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CONSTITUTION DENTAL GROUP, LLP

Doing business as

Constitution Dental Group

Practice address

7935 Constitution Avenue
Suite 110
Colorado Springs, CO 80951

Phone

(719) 280-0277

Fax

(719) 387-0285

NPI assigned

Dec 15, 2016

Last updated

Dec 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan C Gardner, DDS

Title

Owner

Phone

(719) 280-0277

Specialties & licenses 1

Addresses

Other names 1

• Constitution Dental Group Doing business as

Locations

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1073057675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7935 CONSTITUTION AVENUE",
            "address_2": "SUITE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80951",
            "telephone_number": "719-280-0277",
            "fax_number": "719-387-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTITUTION DENTAL GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-280-0277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Constitution Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jade Constantine
• Alexios-Clark C Constantinides, D.O.
• Shannon M Constantinides, F.N.P.
• Teresa Constantino, FNP
• Craig Constantinos, MA
• Katherine Conti, BCBA
• Matthew Conti
• Continuous Positive Airway Services Inc
• Continuum Care Services
• Continuum Care Services

• General Practice Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.