Active NPI
Scott Allan Draper, D.D.S., M.S.
- Prosthodontics
- Colorado Springs, CO
National Provider Identifier
1124111406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 8698
- Practice address
- 1155 Kelly Johnson Blvd
Suite 210
Colorado Springs, CO 80920-3932 - Phone
- (719) 532-1007
- Fax
- (719) 532-0048
- NPI assigned
- Oct 1, 2006
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 8698 | CO | Primary |
Addresses
Primary practice location
1155 Kelly Johnson Blvd
Suite 210
Colorado Springs, CO 80920-3932
Mailing address
3527 Oak Meadow Dr
Colorado Springs, CO 80920-2404
Phone (719) 264-0563
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8698 | CO | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Colleen Jenson, LLC | 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.
-
- Dental Clinic/Center
- Colorado Springs, CO
- NPI 1750937124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124111406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3527 OAK MEADOW DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809202404",
"telephone_number": "719-264-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 KELLY JOHNSON BLVD",
"address_2": "SUITE 210",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203932",
"telephone_number": "719-532-1007",
"fax_number": "719-532-0048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAPER",
"first_name": "SCOTT",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CO",
"license": "8698",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.