Michael Dean Kofford, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8999 Issued in CO

Practice address

1694 E Cheyenne Mountain Blvd
Colorado Springs, CO 80906-4050

Phone

(719) 538-4671

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Soco Smiles North LLC

  • Dental Clinic/Center
  • Colorado Springs, CO
  • NPI 1417587858
  NPD Authorized official
• Cedar Smiles LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cedar City, UT
  • NPI 1437968716
  NPD Authorized official
• Apple Orthodontix

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colorado Springs, CO
  • NPI 1659675056
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1184637811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5152 S NEPAL WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800156402",
            "telephone_number": "303-997-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1694 E CHEYENNE MOUNTAIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064050",
            "telephone_number": "719-538-4671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4625 Alpglen Ct",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809068213",
            "country_code": "US",
            "telephone_number": "303-997-6539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOFFORD",
        "first_name": "MICHAEL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-09-12",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "8999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Andrew Koeniger, MD
• Debra M Koepfer, PA
• Kimberly Christine Koessel, PH.D.
• Dawn Michelle Kofahl
• Robert Alan Koff, D.M.D.
• Derek B Kogan, D.C., L.AC
• Chloe Kohl
• Jennifer Kohl, DC
• Kohler Professional Pharmacy LLC
• Kohler Professional Pharmacy LLC

• 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 Sep 12, 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.