Organization Active NPI

Zitterkopf Smiles, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colorado Springs, CO
National Provider Identifier
1659130458
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ZITTERKOPF SMILES, PLLC
Practice address
6140 Tutt Blvd Ste 250
Colorado Springs, CO 80923-3578
Phone
(719) 596-2477
Fax
(719) 597-9902
NPI assigned
Mar 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Dr. Jacob G Zitterkopf, DDS, MSDNPI 1972013639
Title
Owner/ DDS
Phone
(719) 596-2477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

6140 Tutt Blvd Ste 250
Colorado Springs, CO 80923-3578

Mailing address

6140 Tutt Blvd Ste 250
Colorado Springs, CO 80923-3578
Phone (719) 596-2477

Other identifiers 1

IdentifierTypeStateIssuer
1972013639OtherCOSTATE

National Provider Directory

National Provider Directory

Locations

6140 Tutt Blvd
Ste 250
Colorado Springs, CO 80923
Phone (719) 596-2477

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": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1659130458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 TUTT BLVD STE 250",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233578",
            "telephone_number": "719-596-2477",
            "fax_number": "719-597-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 TUTT BLVD STE 250",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233578",
            "telephone_number": "719-596-2477",
            "fax_number": "719-597-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZITTERKOPF SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "ZITTERKOPF",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/ DDS",
        "authorized_official_telephone_number": "719-596-2477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "1972013639",
            "state": "CO"
        }
    ],
    "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 Mar 15, 2024; 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.