Organization Active NPI

Colorado Springs Dental Care

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1528505682
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00202298 Issued in CO
Legal business name
COLORADO SPRINGS DENTAL CARE
Practice address
5731 Silverstone Ter
Suite 270
Colorado Springs, CO 80919-3575
Phone
(719) 334-5693
Fax
(719) 434-1084
NPI assigned
Jan 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Authorized official

Name
Brady Sefcik, DDS
Title
Dentist
Phone
(801) 400-4560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 00202298 CO Primary

Addresses

Primary practice location

5731 Silverstone Ter
Suite 270
Colorado Springs, CO 80919-3575

Mailing address

5731 Silverstone Terrace
Suite 270
Colorado Springs, CO 80909-3552
Phone (719) 334-5693

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1528505682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5731 SILVERSTONE TERRACE",
            "address_2": "SUITE 270",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093552",
            "telephone_number": "719-334-5693",
            "fax_number": "719-434-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 SILVERSTONE TER",
            "address_2": "SUITE 270",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193575",
            "telephone_number": "719-334-5693",
            "fax_number": "719-434-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "SEFCIK",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-400-4560",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 27, 2017; 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.