Individual provider Active NPI

Rebecca A Facy, M.D.,D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Colorado Springs, CO
National Provider Identifier
1407854102
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
8955 Issued in CO
Practice address
4105 Briargate Pkwy Ste 240
Colorado Springs, CO 80920-7844
Phone
(719) 434-1584
Fax
(719) 313-9387
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 8955 CO Primary

Addresses

Primary practice location

4105 Briargate Pkwy Ste 240
Colorado Springs, CO 80920-7844

Mailing address

4105 Briargate Pkwy Ste 240
Colorado Springs, CO 80920-7844
Phone (719) 434-1584

Other identifiers 1

IdentifierTypeStateIssuer
8955OtherCOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071214000501 CO Practitioner - Oral Surgery 5092805051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Pittsburgh School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Maxillofacial and Oral SurgeonsGroup PAC ID 9537404702, 2 clinicians

Practice addresses (Care Compare)

4105 Briargate Pkwy
Suite 240
Colorado Springs, CO 80920-7844
Phone (719) 434-1584

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Maxillofacial and Oral Surgeons CurrentSince Sep 24, 2018 Accepting new patients

Locations

4105 Briargate Pkwy
Ste 240
Colorado Springs, CO 80920
Phone (719) 310-7670

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1407854102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 BRIARGATE PKWY STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207844",
            "telephone_number": "719-434-1584",
            "fax_number": "719-313-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 BRIARGATE PKWY STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207844",
            "telephone_number": "719-434-1584",
            "fax_number": "719-313-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACY",
        "first_name": "REBECCA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.,D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "8955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8955",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.