Individual provider Active NPI

Thomas J. Borris, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Carson, CO
National Provider Identifier
1679540710
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
8616 Issued in CO
Practice address
1631 Wetzel Ave
Building #815
Fort Carson, CO 80913-4095
Phone
(719) 526-7100
Fax
(719) 526-7995
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 18444 TX
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 8616 CO Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X IL

Addresses

Primary practice location

1631 Wetzel Ave
Building #815
Fort Carson, CO 80913-4095

Mailing address

7927 Buschborn Rd
Peyton, CO 80831-7934
Phone (719) 526-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18444TXMDProfessional Counselor
8616COMDOral and Maxillofacial Surgery (Dentist)
019-020123ILMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679540710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7927 BUSCHBORN RD",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808317934",
            "telephone_number": "719-526-7100",
            "fax_number": "719-526-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 WETZEL AVE",
            "address_2": "BUILDING #815",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134095",
            "telephone_number": "719-526-7100",
            "fax_number": "719-526-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRIS",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "18444",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "8616",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Carson, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.