Organization Active NPI

Alliance Family Dentistry, PC

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1144289885
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8463 Issued in CO
Legal business name
ALLIANCE FAMILY DENTISTRY, PC
Practice address
6140 Tutt Blvd
Suite 140
Colorado Springs, CO 80922-3575
Phone
(719) 955-4023
Fax
(719) 955-4046
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. John R Royal, DDSNPI 1477551562
Title
Dentistowner
Phone
(719) 955-4023

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8463 CO Primary

Addresses

Primary practice location

6140 Tutt Blvd
Suite 140
Colorado Springs, CO 80922-3575

Mailing address

6140 Tutt Blvd
Suite 140
Colorado Springs, CO 80922-3575
Phone (719) 955-4023

National Provider Directory

National Provider Directory

Locations

6140 Tutt Blvd
Ste 140
Colorado Springs, CO 80923
Phone (719) 955-4023

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": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144289885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 TUTT BLVD",
            "address_2": "SUITE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809223575",
            "telephone_number": "719-955-4023",
            "fax_number": "719-955-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 TUTT BLVD",
            "address_2": "SUITE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809223575",
            "telephone_number": "719-955-4023",
            "fax_number": "719-955-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROYAL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTISTOWNER",
        "authorized_official_telephone_number": "719-955-4023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8463",
            "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 21, 2022; 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.