Organization Active NPI

Hollow Tree Dental

  • Dental Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1568821676
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HOLLOW TREE DENTAL
Practice address
2164 Hollow Brook Dr
Colorado Springs, CO 80918-1444
Phone
(719) 344-9574
NPI assigned
Feb 17, 2016
Last updated
Feb 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Dr. Robert E. Hackley Jr., D.D.S
Title
Dentist
Phone
(719) 344-9574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X CO Primary

Addresses

Primary practice location

2164 Hollow Brook Dr
Colorado Springs, CO 80918-1444

Mailing address

2162 Hollow Brook Dr
Colorado Springs, CO 80918-1444
Phone (719) 344-9574

National Provider Directory

National Provider Directory

Locations

2162 Hollow Brook Dr
Colorado Springs, CO 80918
Phone (719) 633-2883

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1568821676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 HOLLOW BROOK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181444",
            "telephone_number": "719-344-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 HOLLOW BROOK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181444",
            "telephone_number": "719-344-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLOW TREE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "HACKLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "719-344-9574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": null,
            "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 Feb 17, 2016; 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.