Sally Katherine Claassen, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DEN.00205785 Issued in CO

Practice address

7560 Rangewood Dr
Colorado Springs, CO 80920-4199

Phone

(719) 596-3113

NPI assigned

Apr 11, 2016

Last updated

Jul 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sally Katherine Sladek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1184088551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7560 RANGEWOOD DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204199",
            "telephone_number": "719-596-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 RANGEWOOD DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204199",
            "telephone_number": "719-596-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAASSEN",
        "first_name": "SALLY",
        "middle_name": "KATHERINE",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "DEN.00205785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "SLADEK",
            "middle_name": "KATHERINE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.