Active NPI
State Board for Community Colleges and Occupational Education
- Dental Clinic/Center
- Colorado Springs, CO
National Provider Identifier
1174344956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- STATE BOARD FOR COMMUNITY COLLEGES AND OCCUPATIONAL EDUCATION
- Practice address
- 11125 Cross Peak VW
Colorado Springs, CO 80921-3420 - Phone
- (719) 502-3437
- NPI assigned
- Oct 23, 2024
- Last updated
- Oct 23, 2024
- Organization subpart
- Yes
- Parent organization
- PIKES PEAK STATE COLLEGE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ewa Posorski
- Title
- Dental Center Director
- Phone
- (719) 502-3437
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
11125 Cross Peak VW
Colorado Springs, CO 80921-3420
Mailing address
11125 Cross Peak VW
Colorado Springs, CO 80921-3420
Phone (719) 502-3437
National Provider Directory
National Provider Directory- Tax ID family
- State Board for Community Colleges and Occupational Education
- Part of
- State Board for Community Colleges and Occupational Education
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Community College of Denver
- Dental Clinic/Center
- Denver, CO
- NPI 1427427384
-
dba Community College of Denver
- General Practice Dentistry
- Denver, CO
- NPI 1790185106
Locations
11125 Cross Peak Vw
Colorado Springs, CO 80921
Phone (719) 502-3437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729641600000",
"number": "1174344956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11125 CROSS PEAK VW",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809213420",
"telephone_number": "719-502-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11125 CROSS PEAK VW",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809213420",
"telephone_number": "719-502-3437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE BOARD FOR COMMUNITY COLLEGES AND OCCUPATIONAL EDUCATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PIKES PEAK STATE COLLEGE",
"enumeration_date": "2024-10-23",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A",
"authorized_official_last_name": "POSORSKI",
"authorized_official_first_name": "EWA",
"authorized_official_title_or_position": "DENTAL CENTER DIRECTOR",
"authorized_official_telephone_number": "719-502-3437"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"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 Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.