Organization Active NPI

Brian Buccellato DDS, a PC

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1255880100
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10225 Issued in CO
Legal business name
BRIAN BUCCELLATO DDS, A PC
Doing business as
Alpine Dentistry
Practice address
7730 N Union Blvd
Suite 101
Colorado Springs, CO 80920-4075
Phone
(586) 531-8722
NPI assigned
Oct 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Brian Buccellato, D.D.S.NPI 1780986794
Title
Dentist/Ceo
Phone
(719) 536-0599

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 10225 CO Primary

Addresses

Primary practice location

7730 N Union Blvd
Suite 101
Colorado Springs, CO 80920-4075

Mailing address

7730 N Union Blvd Ste 101
Colorado Springs, CO 80920-4075
Phone (586) 531-8722

Other identifiers 1

IdentifierTypeStateIssuer
18373500MedicaidCO

Other names 1

  • Alpine Dentistry Doing business as

National Provider Directory

National Provider Directory

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": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1255880100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 N UNION BLVD STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204075",
            "telephone_number": "586-531-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 N UNION BLVD",
            "address_2": "SUITE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204075",
            "telephone_number": "586-531-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN BUCCELLATO DDS, A PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "BUCCELLATO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DENTIST/CEO",
        "authorized_official_telephone_number": "719-536-0599",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18373500",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Dentistry",
            "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 Oct 23, 2025; 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.