Organization Active NPI

Hollow Brook Family Dentistry

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1639427586
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7185 Issued in CO
Legal business name
HOLLOW BROOK FAMILY DENTISTRY
Practice address
2160 Hollow Brook Dr
Colorado Springs, CO 80918-1444
Phone
(719) 633-0049
Fax
(719) 635-2315
NPI assigned
Aug 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Mrs. Monica Sandoval
Title
Office Manager
Phone
(719) 633-0049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7185 CO Primary

Addresses

Primary practice location

2160 Hollow Brook Dr
Colorado Springs, CO 80918-1444

Mailing address

2160 Hollow Brook Dr
Colorado Springs, CO 80918-1444
Phone (719) 633-0049

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1639427586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 HOLLOW BROOK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181444",
            "telephone_number": "719-633-0049",
            "fax_number": "719-635-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 HOLLOW BROOK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181444",
            "telephone_number": "719-633-0049",
            "fax_number": "719-635-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLOW BROOK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-633-0049",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7185",
            "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 Aug 27, 2012; 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.