Organization Active NPI

Associates in Maxillofacial and Oral Surgery PLLC - Castle Rock

  • Oral and Maxillofacial Surgery (Dentist)
  • Castle Rock, CO
National Provider Identifier
1609716646
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY PLLC - CASTLE ROCK
Practice address
755 Maleta LN
Castle Rock, CO 80108-7610
Phone
(303) 217-8017
Fax
(719) 599-0575
NPI assigned
Mar 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Angel Gimenez
Title
Credentialing Senior Manager
Phone
(719) 300-5933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

755 Maleta LN
Castle Rock, CO 80108-7610

Mailing address

1755 Telstar Dr Ste 210
Colorado Springs, CO 80920-1018
Phone (719) 599-0500

National Provider Directory

National Provider Directory

Locations

755 Maleta Ln
Castle Rock, CO 80108
Phone (303) 217-8017

NPI Registry JSON

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1609716646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 TELSTAR DR STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201018",
            "telephone_number": "719-599-0500",
            "fax_number": "719-599-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MALETA LN",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087610",
            "telephone_number": "303-217-8017",
            "fax_number": "719-599-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY PLLC - CASTLE ROCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "GIMENEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "CREDENTIALING SENIOR MANAGER",
        "authorized_official_telephone_number": "719-300-5933"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.