Palmer Ridge Dental and Orthodontics

Primary specialty

DentistTaxonomy code 122300000X

License

8790 Issued in CO

Legal business name

PALMER RIDGE DENTAL AND ORTHODONTICS

Practice address

1777 Lake Woodmoor Dr
Monument, CO 80132-9074

Phone

(719) 488-3014

Fax

(719) 488-3015

NPI assigned

Nov 20, 2015

Last updated

Nov 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Scott Peppler

Title

President

Phone

(719) 488-3014

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1225402704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 LAKE WOODMOOR DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329074",
            "telephone_number": "719-488-3014",
            "fax_number": "719-488-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 LAKE WOODMOOR DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329074",
            "telephone_number": "719-488-3014",
            "fax_number": "719-488-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER RIDGE DENTAL AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "PEPPLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-488-3014",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "8790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Monument, CO
• Providers in Monument, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.