Elevation Endodontics, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELEVATION ENDODONTICS, PLLC

Practice address

1720 Jet Stream Dr Ste 110
Colorado Springs, CO 80921-3938

Phone

(719) 488-2188

Fax

(719) 488-2188

NPI assigned

Nov 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Adam John McKissock, DMDNPI 1073561213

Title

Owner

Phone

(719) 488-2188

Specialties & licenses 1

Addresses

Other names 1

• Elevation Endodontics Doing business as

Locations

Practitioners 2

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

• Adam John McKissock, DMD

  • Endodontics
  • Colorado Springs, CO
  • NPI 1073561213
  NPD Authorized official
• Daniel Douglas Kersten, DDS

  • Endodontics
  • Colorado Springs, CO
  • NPI 1174531818
  NPD

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1144095381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 JET STREAM DR STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213938",
            "telephone_number": "719-488-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 JET STREAM DR STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213938",
            "telephone_number": "719-488-2188",
            "fax_number": "719-488-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION ENDODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "MCKISSOCK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-488-2188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevation Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elevate Therapy LLC
• Elevated Arts Academy LLC
• Elevated Clinical Practice Consulting LLC
• Elevated Family Care LLC
• Elevated Family Wellness PLLC
• Elevation Health Group
• Elevation Medical Supply, LLC
• Elevation Rehabilitation Services
• Elevation Surgical Assisting, LLC
• Eleven Six Counseling Inc

• Dental Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.