NPIMap

Organization Active NPI

Summit Smiles PLLC

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1275246795
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUMMIT SMILES PLLC
Practice address
3208 N Academy Blvd Ste 110
Colorado Springs, CO 80917-5171
Phone
(719) 597-3700
NPI assigned
Dec 29, 2022
Organization subpart
Yes
Parent organization
SUMMIT SMILES PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Jenny Organista
Title
Director of RCM
Phone
(917) 966-0422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3208 N Academy Blvd Ste 110
Colorado Springs, CO 80917-5171

Mailing address

3208 N Academy Blvd Ste 110
Colorado Springs, CO 80917-5171
Phone (719) 597-3700

Other names 1

  • Prestige Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Summit Smiles PLLC5 organizations share this tax ID, including this one
Part of
Summit Smiles PLLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1275246795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 N ACADEMY BLVD STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175171",
            "telephone_number": "719-597-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 N ACADEMY BLVD STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175171",
            "telephone_number": "719-597-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SMILES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT SMILES PLLC",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "ORGANISTA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "917-966-0422"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Dental Center",
            "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 Dec 29, 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.