Colorado Springs Oral and Facial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

10759 Issued in CO

Legal business name

COLORADO SPRINGS ORAL AND FACIAL SURGERY

Practice address

3100 N Academy Blvd
#213
Colorado Springs, CO 80917-5321

Phone

(719) 597-4060

Fax

(719) 574-2140

NPI assigned

Jul 13, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia K Ostrom

Title

Reception

Phone

(719) 597-4060

Specialties & licenses 1

Addresses

Other names 1

• Affiliates in Oral and Maxillofacial Surgery Former legal business name

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1659755338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N ACADEMY BLVD",
            "address_2": "#213",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175321",
            "telephone_number": "719-597-4060",
            "fax_number": "719-574-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N ACADEMY BLVD",
            "address_2": "#213",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175321",
            "telephone_number": "719-597-4060",
            "fax_number": "719-574-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS ORAL AND FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "OSTROM",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "RECEPTION",
        "authorized_official_telephone_number": "719-597-4060",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "10759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affiliates in Oral and Maxillofacial Surgery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Colorado Springs Obstetrics & Gynecology, P.C.
• Colorado Springs Ocd & Trauma Treatment Center
• Colorado Springs Oral and Facial Surgery Center PLLC
• Colorado Springs Oral and Facial Surgery Center PLLC (Colorado Springs Oral Surgery)
• Colorado Springs Oral Surgery
• Colorado Springs Orthopaedic Group (Audubon Orthotic And Prosthetic Services)
• Colorado Springs Orthopaedic Group

• Oral and Maxillofacial Surgery (Dentist) in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.