Summit Dental Care One

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8290 Issued in CO

Legal business name

SUMMIT DENTAL CARE ONE

Practice address

5725 Erindale Dr Ste 100
Colorado Springs, CO 80918-1984

Phone

(719) 322-4949

NPI assigned

Mar 1, 2018

Organization subpart

Yes

Parent organization

SUMMIT DENTAL CAREAs reported in NPPES

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

Authorized official

Name

Megan Smith

Title

President of Operations

Phone

(719) 322-4949

Specialties & licenses 1

Addresses

Other names 1

• Summit Dental Care Doing business as

Part of

Summit Dental Care One

Locations

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1508368093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 5TH ST STE 400",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041827",
            "telephone_number": "719-322-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 ERINDALE DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181984",
            "telephone_number": "719-322-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DENTAL CARE ONE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT DENTAL CARE",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "719-322-4949"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Summit Chiropractic PC
• Summit Chiropractic, PLLC
• Summit Counseling
• Summit Counseling Services, PLLC
• Summit Dental
• Summit Dermatology, P.C.
• Summit Hearing Aid Center
• Summit Home Health Care Inc
• Summit Integrated Health PLLC
• Summit Medical Clinic, PC

• 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 Mar 1, 2018; 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.