Organization Active NPI

Dentifferent Solutions, Prof., LLC

  • Dental Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1285808519
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7811 Issued in CO
Legal business name
DENTIFFERENT SOLUTIONS, PROF., LLC
Practice address
9475 Briar Village PT
Suite 115
Colorado Springs, CO 80920-7901
Phone
(719) 268-9400
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. Bill Knoerr Thompson, DDS
Title
Owner
Phone
(719) 268-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7811 CO Primary

Addresses

Primary practice location

9475 Briar Village PT
Suite 115
Colorado Springs, CO 80920-7901

Mailing address

9475 Briar Village PT
Suite 115
Colorado Springs, CO 80920-7901
Phone (719) 268-9400

Other names 1

  • Pine Creek Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9475 Briar Village Pt
Ste 115
Colorado Springs, CO 80920
Phone (719) 268-9400

Practitioners & affiliated clinicians

Practitioners 1

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": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1285808519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 BRIAR VILLAGE PT",
            "address_2": "SUITE 115",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207901",
            "telephone_number": "719-268-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 BRIAR VILLAGE PT",
            "address_2": "SUITE 115",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207901",
            "telephone_number": "719-268-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIFFERENT SOLUTIONS, PROF., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "KNOERR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-268-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "7811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Creek Dental",
            "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 Apr 17, 2008; 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.