Erindale Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ERINDALE DENTAL LLC

Practice address

6020 Erin Park Dr
Suite B
Colorado Springs, CO 80918-3428

Phone

(719) 266-9393

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Leopoldo Rodriguez, DDS

Title

Partner

Phone

(719) 596-3939

Specialties & licenses 1

Addresses

Other names 1

• Erindale Dental Former legal business name

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609090638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 ERIN PARK DR",
            "address_2": "SUITE B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183428",
            "telephone_number": "719-266-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 ERIN PARK DR",
            "address_2": "SUITE B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183428",
            "telephone_number": "719-266-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERINDALE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LEOPOLDO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "719-596-3939",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erindale Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tava Erickson, MA, LPC
• Amanda Christine Ericson, RD
• Sierra Eriksen
• Anika Erikson
• Erindale Dental Center
• Leah Erisman
• Candace Eritano Richey, LPC, LAC
• Salvador Erives Varela
• Amanda Lee Erjavec, AGACNP-BC
• Julie Erker, RDH

• 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 Jul 21, 2022; 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.