Springs Pediatric Dental Care

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8468 Issued in CO

Legal business name

SPRINGS PEDIATRIC DENTAL CARE

Practice address

13335 Voyager Parkway
100
Colorado Springs, CO 80921-7657

Phone

(719) 265-9600

Fax

(719) 265-9899

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Clinton Thomas Callahan, DMDNPI 1245331552

Title

Owner/Dentist

Phone

(719) 265-9600

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Clinton T. Callahan, DMD

  • Pediatric Dentistry
  • Colorado Springs, CO
  • NPI 1245331552
  NPD (past) Authorized official
• Bryce Donald Church, DMD

  • Pediatric Dentistry
  • Colorado Springs, CO
  • NPI 1770107104
  NPD

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1609224195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13335 VOYAGER PARKWAY",
            "address_2": "100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217657",
            "telephone_number": "719-265-9600",
            "fax_number": "719-265-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13335 VOYAGER PARKWAY",
            "address_2": "100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217657",
            "telephone_number": "719-265-9600",
            "fax_number": "719-265-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGS PEDIATRIC DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "719-265-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "8468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springs Medical Massage LLC
• Springs Medical Transport LLC
• Springs Midwifery and Women'S Care, LLC
• Springs Natural Healing Co.
• Springs Neuro & Balance Physical Therapy PLLC
• Springs Rehabilitation Founder Holdings, PC
• Springs Serenity Care
• Springs Smile Center
• Springs Smiles Youth Dentistry, PC
• Springs Speech, LLC

• Pediatric Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.