Oral Surgery Associates of Colorado Springs, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL SURGERY ASSOCIATES OF COLORADO SPRINGS, P.C.

Practice address

5745 Erindale Dr Ste 100
Colorado Springs, CO 80918-8902

Phone

(719) 473-2650

Fax

(719) 473-2508

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kendal L Bear-Davey

Title

Administrator

Phone

(719) 473-2650

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Robert Hildebrandt, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Colorado Springs, CO
  • NPI 1588669600
  NPD (past)
• Karl Erdman Pennau, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Colorado Springs, CO
  • NPI 1528299153
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376663641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 ERINDALE DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188902",
            "telephone_number": "719-473-2650",
            "fax_number": "719-473-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5745 ERINDALE DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188902",
            "telephone_number": "719-473-2650",
            "fax_number": "719-473-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY ASSOCIATES OF COLORADO SPRINGS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEAR-DAVEY",
        "authorized_official_first_name": "KENDAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-473-2650",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optumcare Colorado Medical Group LLC
• Optumcare Colorado Medical Group, LLC
• Optumcare Colorado Medical Group, LLC
• Optumcare Colorado Springs, LLC
• Rachel Oquinn
• Jeffrey Oram-Smith, M.D.
• Jared Orango
• James E. Orban, D.D.S.
• Avery Orcutt
• John N Ordahl Sr., D.D.S.M.S.

• Oral and Maxillofacial Surgery (Dentist) in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.