Organization Active NPI

Perfect Teeth - Uintah Gardens P.C.

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1619098019
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6097 Issued in CO
Legal business name
PERFECT TEETH - UINTAH GARDENS P.C.
Practice address
1768 W Uintah St
Colorado Springs, CO 80904-2958
Phone
(719) 632-8006
Fax
(719) 632-6283
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Lauren Hill
Title
RCM, Director
Phone
(972) 930-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6097 CO Primary

Addresses

Primary practice location

1768 W Uintah St
Colorado Springs, CO 80904-2958

Mailing address

1768 W Uintah St
Colorado Springs, CO 80904-2958
Phone (719) 632-8006

Other names 1

  • Perfect Teeth - Uintah Gardens P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

1768 W Uintah St
Colorado Springs, CO 80904
Phone (719) 632-8006

Practitioners & affiliated clinicians

Practitioners 1

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1619098019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 W UINTAH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042958",
            "telephone_number": "719-632-8006",
            "fax_number": "719-632-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 W UINTAH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042958",
            "telephone_number": "719-632-8006",
            "fax_number": "719-632-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT TEETH - UINTAH GARDENS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "RCM, DIRECTOR",
        "authorized_official_telephone_number": "972-930-7707"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Teeth - Uintah Gardens P.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perfect Teeth - Uintah Gardens P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 19, 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.