Organization Active NPI

Rota Advanced Dental Care

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1306396551
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104340 Issued in CO
Legal business name
ROTA ADVANCED DENTAL CARE
Practice address
6210 Woodmen Park VW
Colorado Springs, CO 80923-2616
Phone
(719) 598-1224
Fax
(719) 531-9430
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Joe Rota
Title
Owner
Phone
(719) 598-1224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 104340 CO Primary

Addresses

Primary practice location

6210 Woodmen Park VW
Colorado Springs, CO 80923-2616

Mailing address

6210 Woodmen Park VW
Colorado Springs, CO 80923-2616
Phone (719) 598-1224

National Provider Directory

National Provider Directory

Locations

6210 Woodmen Park Vw
Colorado Springs, CO 80923
Phone (719) 598-1224

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1306396551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 WOODMEN PARK VW",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232616",
            "telephone_number": "719-598-1224",
            "fax_number": "719-531-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 WOODMEN PARK VW",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232616",
            "telephone_number": "719-598-1224",
            "fax_number": "719-531-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTA ADVANCED DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "ROTA",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-598-1224"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "104340",
            "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 Oct 12, 2016; 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.