NPIMap

Organization Active NPI

Woodmen Creek Dental PC

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1205045846
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WOODMEN CREEK DENTAL PC
Doing business as
Rota Advanced Dental Care
Practice address
1750 Telstar Dr
Suite 200
Colorado Springs, CO 80920-1047
Phone
(719) 598-1224
Fax
(719) 531-9430
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Dr. Joseph A Rota, D.M.D.NPI 1679798987
Title
Dentist
Phone
(719) 598-1224

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 Primary

Addresses

Primary practice location

1750 Telstar Dr
Suite 200
Colorado Springs, CO 80920-1047

Mailing address

1750 Telstar Dr
Suite 200
Colorado Springs, CO 80920-1047
Phone (719) 598-1224

Other names 1

  • Rota Advanced Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1750 Telstar Dr
Ste 200
Colorado Springs, CO 80920
Phone (719) 598-1224

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1205045846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 TELSTAR DR",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201047",
            "telephone_number": "719-598-1224",
            "fax_number": "719-531-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 TELSTAR DR",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201047",
            "telephone_number": "719-598-1224",
            "fax_number": "719-531-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODMEN CREEK DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "ROTA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "719-598-1224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rota Advanced Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 18, 2011; 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.