Active NPI
Facial Plastic Surgery Center of Colorado Springs, PC
- Plastic Surgery Physician
- Colorado Springs, CO
National Provider Identifier
1386245348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- FACIAL PLASTIC SURGERY CENTER OF COLORADO SPRINGS, PC
- Practice address
- 3030 N Circle Dr
Colorado Springs, CO 80909-1177 - Phone
- (719) 632-5020
- Fax
- (719) 520-5488
- NPI assigned
- Nov 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Andrew Dalsaso, MD
- Title
- Owner
- Phone
- (719) 632-5020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
3030 N Circle Dr
Colorado Springs, CO 80909-1177
Mailing address
6 Elm Ave
Colorado Springs, CO 80906-3130
Phone (706) 632-7429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040430001190 | CO | Part B Supplier - Clinic/Group Practice | 0749278653 |
Receives reassigned benefits from 1 practitioner 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Colorado Springs, CO; Woodland Park, CO |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Plastic Surgery Physician
- Colorado Springs, CO
- NPI 1134104441
O20040430001190
-
- Plastic Surgery Physician
- Woodland Park, CO
- NPI 1457952418
O20040430001190
-
- Plastic Surgery Physician
- Colorado Springs, CO
- NPI 1902407968
O20040430001190
National Provider Directory
National Provider Directory- Tax ID family
- Facial Plastic Surgery Center of Colorado Springs PC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Plastic Surgery Physician
- Colorado Springs, CO
- NPI 1134104441
-
- Plastic Surgery Physician
- Woodland Park, CO
- NPI 1457952418
-
- Plastic Surgery Physician
- Colorado Springs, CO
- NPI 1902407968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604534400000",
"number": "1386245348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 ELM AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063130",
"telephone_number": "706-632-7429",
"fax_number": "970-342-2093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 N CIRCLE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091177",
"telephone_number": "719-632-5020",
"fax_number": "719-520-5488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FACIAL PLASTIC SURGERY CENTER OF COLORADO SPRINGS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A",
"authorized_official_last_name": "DALSASO",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-632-5020",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
- Lindsay Faapito, RBT
- Meredith L Faas, LCSW
- Jessica Facey
- Facial Associates of Colorado for Emergency Services, PLLC
- Facial Plastic Surgery Center of Colorado Springs, PC
- Facial Plastic Surgery Center of Colorado Springs, PC
- Angelina Fackelman
- Regan Fackler, FNP
- Kara Facundo, LPC
- Rebecca A Facy, M.D.,D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.