NPIMap

Organization Active NPI

Wasatch Payroll LLC

  • Dental Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1629519723
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
00202298 Issued in CO
Legal business name
WASATCH PAYROLL LLC
Practice address
3100 N Academy Blvd
107
Colorado Springs, CO 80917-5321
Phone
(719) 375-1358
NPI assigned
Mar 9, 2017
Organization subpart
Yes
Parent organization
WASATCH PAYROLL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Mrs. Michelle Lynn Olson
Title
Practice Manager
Phone
(719) 375-1358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 00202298 CO Primary

Addresses

Primary practice location

3100 N Academy Blvd
107
Colorado Springs, CO 80917-5321

Mailing address

3100 N Academy Blvd
107
Colorado Springs, CO 80917-5321
Phone (719) 375-1358

Other names 1

  • Four Seasons Dental Care N Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wasatch Payroll LLC2 organizations share this tax ID, including this one
Part of
Wasatch Payroll LLC

Other organizations with this tax ID 1

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

Locations

3100 N Academy Blvd
Ste 107
Colorado Springs, CO 80917
Phone (719) 375-1358

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1629519723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N ACADEMY BLVD",
            "address_2": "107",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175321",
            "telephone_number": "719-375-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N ACADEMY BLVD",
            "address_2": "107",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175321",
            "telephone_number": "719-375-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH PAYROLL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WASATCH PAYROLL LLC",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "719-375-1358",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "00202298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Seasons Dental Care N",
            "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 Mar 9, 2017; 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.