Organization Active NPI

Timothy F. Stacey, DDS, LLC

  • Dental Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1225604283
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TIMOTHY F. STACEY, DDS, LLC
Practice address
1975 Research Pkwy Ste 302
Colorado Springs, CO 80920-1055
Phone
(719) 599-0949
Fax
(719) 599-0703
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Timothy Stacey, DDSNPI 1194757278
Title
Owner
Phone
(719) 599-0949

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1975 Research Pkwy Ste 302
Colorado Springs, CO 80920-1055

Mailing address

1975 Research Pkwy Ste 302
Colorado Springs, CO 80920-1055
Phone (719) 599-0949

National Provider Directory

National Provider Directory

Locations

6165 Lehman Dr
Ste 104
Colorado Springs, CO 80918
Phone (719) 599-0949

1975 Research Pkwy
Ste 302
Colorado Springs, CO 80920
Phone (719) 599-0949

Practitioners & affiliated clinicians

Practitioners 2

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": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1225604283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 RESEARCH PKWY STE 302",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201055",
            "telephone_number": "719-599-0949",
            "fax_number": "719-599-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 RESEARCH PKWY STE 302",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201055",
            "telephone_number": "719-599-0949",
            "fax_number": "719-599-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY F. STACEY, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "STACEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-599-0949",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 22, 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.