Nathan Ryan Budge, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

10027 Issued in CO

Practice address

1580 Space Center Dr Ste 107
Colorado Springs, CO 80915-2445

Phone

(719) 574-8922

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Powers Dental Prof LLC

  • Dentist
  • Colorado Springs, CO
  • NPI 1891022505
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1528129343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SPACE CENTER DR STE 107",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152445",
            "telephone_number": "719-574-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SPACE CENTER DR STE 107",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152445",
            "telephone_number": "719-574-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDGE",
        "first_name": "NATHAN",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Buckman, LPCC
• Alanna P Bucknell, MSW, CAS
• Shizuka Buckner, FNP-C
• Logan Buczinski
• Jasmine Buda
• Ronaldrey Budhi
• William Budney, RPH
• Aurelia Budoff
• Alexis Budzeak
• Laura Ann Buehler, PTA

• 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 Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.