NPIMap

Organization Active NPI

Oms Associates Colorado PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Canon City, CO
National Provider Identifier
1467053496
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
OMS ASSOCIATES COLORADO PC
Practice address
111 N 10TH St
Canon City, CO 81212-3457
Phone
(719) 599-0500
Fax
(719) 599-0575
NPI assigned
Nov 5, 2020
Organization subpart
Yes
Parent organization
OMS ASSOCIATES COLORADO PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Susan Stegman
Title
Credentialing Co- Ordinator
Phone
(719) 599-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

111 N 10TH St
Canon City, CO 81212-3457

Mailing address

6160 Tutt Blvd Ste 250
Colorado Springs, CO 80923-1500
Phone (719) 599-0500

Other names 1

  • Associates in Maxillofacial and Oral Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oms Associates Colorado PC7 organizations share this tax ID, including this one
Part of
Oms Associates Colorado PC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6160 Tutt Blvd
Ste 250
Colorado Springs, CO 80923
Phone (719) 359-8652

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1467053496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD STE 250",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809231500",
            "telephone_number": "719-599-0500",
            "fax_number": "719-599-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 10TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123457",
            "telephone_number": "719-599-0500",
            "fax_number": "719-599-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMS ASSOCIATES COLORADO PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMS ASSOCIATES COLORADO PC",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "STEGMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CREDENTIALING CO- ORDINATOR",
        "authorized_official_telephone_number": "719-599-0500"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associates in Maxillofacial and Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canon City, CO

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.