Organization Active NPI

JJ Elevation, PLLC

Doing business as Elevation Endodontics

  • Endodontics
  • Colorado Springs, CO
National Provider Identifier
1447803382
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
JJ ELEVATION, PLLC
Doing business as
Elevation Endodontics
Practice address
10012 Coyote Song Ter
Colorado Springs, CO 80924-4504
Phone
(719) 357-1336
NPI assigned
Jul 19, 2019
Last updated
Nov 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Dr. Adam John McKissock, DMDNPI 1073561213
Title
Endodontist
Phone
(719) 357-1336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

10012 Coyote Song Ter
Colorado Springs, CO 80924-4504

Mailing address

10012 Coyote Song Ter
Colorado Springs, CO 80924-4504
Phone (719) 357-1336

Other names 1

  • Elevation Endodontics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1447803382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 COYOTE SONG TER",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809244504",
            "telephone_number": "719-357-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 COYOTE SONG TER",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809244504",
            "telephone_number": "719-357-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJ ELEVATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "MCKISSOCK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "719-357-1336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevation Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.