Organization Active NPI

Arbor Dermatology

  • Dermatology Physician
  • Colorado Springs, CO
National Provider Identifier
1144582750
Registry record updated Jun 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
49833 Issued in CO
Legal business name
ARBOR DERMATOLOGY
Practice address
9480 Briar Village PT
Suite 100
Colorado Springs, CO 80920-7922
Phone
(719) 623-2104
NPI assigned
Jun 10, 2012
Last updated
Jun 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2012

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

Authorized official

Name
Ann Kumm
Title
Administrator
Phone
(719) 623-2104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 49833 CO Primary

Addresses

Primary practice location

9480 Briar Village PT
Suite 100
Colorado Springs, CO 80920-7922

Mailing address

9480 Briar Village PT
Suite 100
Colorado Springs, CO 80920-7922
Phone (719) 623-2104

National Provider Directory

National Provider Directory

Locations

9480 Briar Village Pt
Ste 100
Colorado Springs, CO 80920
Phone (719) 623-2104

NPI Registry JSON

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

{
    "created_epoch": "1339286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339286400000",
    "number": "1144582750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 BRIAR VILLAGE PT",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207922",
            "telephone_number": "719-623-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 BRIAR VILLAGE PT",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207922",
            "telephone_number": "719-623-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-10",
        "last_updated": "2012-06-10",
        "status": "A",
        "authorized_official_last_name": "KUMM",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-623-2104"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "49833",
            "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 Jun 10, 2012; 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.