Active NPI
Thomas S Jennings, DDS
- General Practice Dentistry
- Colorado Springs, CO
National Provider Identifier
1083690291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6662
- Practice address
- 2430 Research Pkwy
Suite 200
Colorado Springs, CO 80920-1093 - Phone
- (719) 590-7100
- Fax
- (719) 590-7223
- NPI assigned
- Dec 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6662 | CO | Primary |
Addresses
Primary practice location
2430 Research Pkwy
Suite 200
Colorado Springs, CO 80920-1093
Mailing address
2430 Research Pkwy
Suite 200
Colorado Springs, CO 80920-1093
Phone (719) 590-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770176 | Other | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6662 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennings-Perrett PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Colorado Springs, CO
- NPI 1447524657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251676800000",
"number": "1083690291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 RESEARCH PKWY",
"address_2": "SUITE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201093",
"telephone_number": "719-590-7100",
"fax_number": "719-590-7223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 RESEARCH PKWY",
"address_2": "SUITE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201093",
"telephone_number": "719-590-7100",
"fax_number": "719-590-7223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "THOMAS",
"middle_name": "S",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2009-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "6662",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "770176",
"state": null
}
],
"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 Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.