NPIMap

Organization Active NPI

Fort Collins Oral & Maxillofacial Surgery Partnership

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Fort Collins, CO
National Provider Identifier
1215659206
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
FORT COLLINS ORAL & MAXILLOFACIAL SURGERY PARTNERSHIP
Practice address
2014 Caribou Dr Ste 100
Fort Collins, CO 80525-4330
Phone
(970) 225-9555
Fax
(970) 223-2294
NPI assigned
Sep 15, 2022
Last updated
Sep 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Mark Frank Orr, MD, DDSNPI 1174678585
Title
General Partner
Phone
(970) 225-9555

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
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

2014 Caribou Dr Ste 100
Fort Collins, CO 80525-4330

Mailing address

2014 Caribou Dr Ste 100
Fort Collins, CO 80525-4330
Phone (970) 225-9555

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.fortcollinsoms.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2014 Caribou Dr
Ste 100
Fort Collins, CO 80525
Phone (970) 225-9555

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1215659206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 CARIBOU DR STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254330",
            "telephone_number": "970-225-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 CARIBOU DR STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254330",
            "telephone_number": "970-225-9555",
            "fax_number": "970-223-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT COLLINS ORAL & MAXILLOFACIAL SURGERY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "970-225-9555",
        "authorized_official_credential": "MD, DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.fortcollinsoms.com",
            "affiliation": "N",
            "endpointDescription": "SecureMail via practice website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2014 Caribou Dr Ste 100",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805254330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.