Constance Madjar

Primary specialty

DentistTaxonomy code 122300000X

License

203122 Issued in CO

Practice address

721 N Cascade Ave
Colorado Springs, CO 80903-3211

Phone

(719) 633-3366

NPI assigned

Mar 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• CM DDS, PLLC

  • Dental Clinic/Center
  • Colorado Springs, CO
  • NPI 1699438861
  NPD Authorized official

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1447610324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10917 HIDDEN PRAIRIE PKWY",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808177263",
            "telephone_number": "719-565-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N CASCADE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033211",
            "telephone_number": "719-633-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADJAR",
        "first_name": "CONSTANCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2021-10-13",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "203122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Mademann
• Jeremiah Mader
• Cecilia C Madiedo, BCBA, MA. ED
• Summer Madise
• Giselle Nicole Madison-Ross
• Reilly Madone, RBT
• Jeremy Jorge Madrid Jr.
• Tenisha Madrid
• Rachel Marlaine Madrigal, CLD
• Tyeice Madril

• Dentist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.