Perfect Teeth - Woodman Valley P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6097 Issued in CO

Legal business name

PERFECT TEETH - WOODMAN VALLEY P.C.

Practice address

3574 Hartsel Dr
Unit C
Colorado Springs, CO 80920-2108

Phone

(719) 266-9868

Fax

(719) 266-0889

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Laurie Summers

Title

Credentialing

Phone

(303) 285-6098

Specialties & licenses 1

Addresses

Other names 1

• Perfect Teeth - Woodman Valley P.C. Doing business as

Locations

Practitioners 2

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

• William G Hawkins, DDS

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1154647295
  NPD (past)
• Tasneim A. Mohamed, DDS

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1285909598
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1407977812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3574 HARTSEL DR",
            "address_2": "UNIT C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202108",
            "telephone_number": "719-266-9868",
            "fax_number": "719-266-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3574 HARTSEL DR",
            "address_2": "UNIT C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202108",
            "telephone_number": "719-266-9868",
            "fax_number": "719-266-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT TEETH - WOODMAN VALLEY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "303-285-6098"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Teeth - Woodman Valley P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perfect Teeth - Garden of the Gods P.C.
• Perfect Teeth - Powers P.C.
• Perfect Teeth - South 8TH Street P.C.
• Perfect Teeth - Uintah Gardens P.C.
• Perfect Teeth - Union & Academy P.C.
• Perfect Teeth / Monument P.C.
• Performance Back
• Performance Consulting Services, LLC
• Performance Pediatrics
• Cameron Lloyd Perigo, D.D.S.

• General Practice Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.