Active NPI
Stephen J Colm, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Colorado Springs, CO
National Provider Identifier
1285635011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 7009
- Practice address
- 1050 S 8TH St
Colorado Springs, CO 80906-1307 - Phone
- (719) 635-2807
- Fax
- (719) 635-2965
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7009 | CO | Primary |
Addresses
Primary practice location
1050 S 8TH St
Colorado Springs, CO 80906-1307
Mailing address
5634 W Ida Dr
Littleton, CO 80123-5136
Phone (303) 347-0597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7009 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1285635011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5634 W IDA DR",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801235136",
"telephone_number": "303-347-0597",
"fax_number": "303-707-1301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 S 8TH ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809061307",
"telephone_number": "719-635-2807",
"fax_number": "719-635-2965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLM",
"first_name": "STEPHEN",
"middle_name": "J",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CO",
"license": "7009",
"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 Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.