Erindale Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ERINDALE DENTAL CENTER

Doing business as

Simply Dental

Practice address

6020 Erin Park Dr Ste B
Colorado Springs, CO 80918-3429

Phone

(719) 266-9393

Fax

(719) 266-9494

NPI assigned

Aug 29, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Greg Rodriguez

Title

Administrator

Phone

(719) 266-9393

Specialties & licenses 1

Addresses

Other names 1

• Simply Dental Doing business as

Locations

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1285151258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 ERIN PARK DR STE B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183429",
            "telephone_number": "719-266-9393",
            "fax_number": "719-266-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 ERIN PARK DR STE B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183429",
            "telephone_number": "719-266-9393",
            "fax_number": "719-266-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERINDALE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-266-9393",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne C. Erickson
• Tava Erickson, MA, LPC
• Amanda Christine Ericson, RD
• Sierra Eriksen
• Anika Erikson
• Erindale Dental LLC
• Leah Erisman
• Candace Eritano Richey, LPC, LAC
• Salvador Erives Varela
• Amanda Lee Erjavec, AGACNP-BC

• General Practice Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.