NPIMap

Organization Active NPI

Front Range Endodontics, PLLC

  • Endodontics
  • Colorado Springs, CO
National Provider Identifier
1093329047
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
FRONT RANGE ENDODONTICS, PLLC
Practice address
2116 Hollow Brook Dr Ste 200
Colorado Springs, CO 80918-1790
Phone
(719) 597-0038
Fax
(719) 597-6239
NPI assigned
Sep 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Dr. Christopher Friedl, DDSNPI 1972898716
Title
Endodontist and Managing Member
Phone
(719) 597-0038

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)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

2116 Hollow Brook Dr Ste 200
Colorado Springs, CO 80918-1790

Mailing address

2116 Hollow Brook Dr Ste 200
Colorado Springs, CO 80918-1790
Phone (719) 597-0038

Other identifiers 2

IdentifierTypeStateIssuer
DEN.00010446OtherCOCOLORADO DEPARTMENT OF REGULATORY AGENCIES, DENTAL LICENSE NUMBER
DEN.00203358OtherCOCOLORADO DEPARTMENT OF REGULATORY AGENCIES, DENTAL LICENSE NUMBER

Other names 1

  • Front Range Endodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bridgewater Endodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1599350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1093329047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 HOLLOW BROOK DR STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181790",
            "telephone_number": "719-597-0038",
            "fax_number": "719-597-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 HOLLOW BROOK DR STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181790",
            "telephone_number": "719-597-0038",
            "fax_number": "719-597-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE ENDODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-06",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "FRIEDL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ENDODONTIST AND MANAGING MEMBER",
        "authorized_official_telephone_number": "719-597-0038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES, DENTAL LICENSE NUMBER",
            "identifier": "DEN.00010446",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES, DENTAL LICENSE NUMBER",
            "identifier": "DEN.00203358",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Front Range Endodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Front Range Endodontics",
            "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 Aug 2, 2021; 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.