Active NPI
Brian Buccellato DDS, a PC
- General Practice Dentistry
- Colorado Springs, CO
National Provider Identifier
1255880100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10225
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Buccellato, D.D.S.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18373500 | Medicaid | CO |
Other names 1
- Alpine Dentistry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Colorado Springs, CO
- NPI 1780986794
-
- General Practice Dentistry
- Colorado Springs, CO
- NPI 1376545046
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.