NPIMap

Organization Active NPI

Citadel Dental Partners Prof LLP

Doing business as Comfort Dental Citadel Crossing

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1326146309
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7044 Issued in CO
Legal business name
CITADEL DENTAL PARTNERS PROF LLP
Doing business as
Comfort Dental Citadel Crossing
Practice address
509 North Academy Blvd
Colorado Springs, CO 80909
Phone
(719) 591-7599
Fax
(719) 622-9809
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Brian Anderson, DDSNPI 1629262043
Title
Dentist
Phone
(719) 591-7599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 7044 CO Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 8890 CO
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 9213 CO

Addresses

Primary practice location

509 North Academy Blvd
Colorado Springs, CO 80909

Mailing address

733 N. Academy Blvd.
Colorado Springs, CO 80909
Phone (719) 591-7599

Other names 1

  • Comfort Dental Citadel Crossing Doing business as

National Provider Directory

National Provider Directory

Locations

509 N Academy Blvd
Colorado Springs, CO 80909
Phone (719) 591-7599

733 N Academy Blvd
Colorado Springs, CO 80909

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1326146309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 N. ACADEMY BLVD.",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-591-7599",
            "fax_number": "719-622-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 NORTH ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-591-7599",
            "fax_number": "719-622-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL DENTAL PARTNERS PROF LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "719-591-7599",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "7044",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "8890",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "9213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Citadel Crossing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comfort Dental Citadel Crossing",
            "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 Sep 7, 2021; 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.