NPIMap

Organization Active NPI

Rocky Mountain Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Colorado Springs, CO
National Provider Identifier
1609100437
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9798 Issued in CO
Legal business name
ROCKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC
Practice address
7505 Mulberry Wood Dr., Ste 150
Colorado Springs, CO 80908
Phone
(719) 638-7673
Fax
(719) 424-4928
NPI assigned
Sep 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Janelle Lynn Tonn, DDSNPI 1982922894
Title
Owner
Phone
(719) 638-7673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 9798 CO Primary

Addresses

Primary practice location

7505 Mulberry Wood Dr., Ste 150
Colorado Springs, CO 80908

Mailing address

7505 Mulberry Wood Dr., Ste 150
Colorado Springs, CO 80908
Phone (719) 638-7673

National Provider Directory

National Provider Directory
Tax ID family
Rocky Mountain Pediatric Dentistry PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7505 Mulberry Wood Dr
Ste 150
Colorado Springs, CO 80908
Phone (719) 638-7673

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1609100437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 MULBERRY WOOD DR., STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80908",
            "telephone_number": "719-638-7673",
            "fax_number": "719-424-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 MULBERRY WOOD DR., STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80908",
            "telephone_number": "719-638-7673",
            "fax_number": "719-424-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-26",
        "last_updated": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "TONN",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-638-7673",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "9798",
            "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 Jun 11, 2024; 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.