Cheyenne Mountain Oral Surgery PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CHEYENNE MOUNTAIN ORAL SURGERY PC

Practice address

640 Southpointe CT Ste 150
Colorado Springs, CO 80906-3884

Phone

(720) 603-4800

NPI assigned

Jun 8, 2018

Organization subpart

No

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

Authorized official

Name

Dayne Jensen

Title

Owner

Phone

(720) 603-4800

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Cheyenne Mountain Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Colorado Springs, CO
  • NPI 1518561364
  NPPES parent name

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1689167280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 S ULSTER ST STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 SOUTHPOINTE CT STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063884",
            "telephone_number": "720-603-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE MOUNTAIN ORAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "DAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-603-4800"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Mountain Dental Group
• Cheyenne Mountain Family Practice
• Cheyenne Mountain Gynecology LLC
• Cheyenne Mountain Integrative Healing LLC
• Cheyenne Mountain Oral Surgery PC
• Cheyenne Mountain Psychological Associates P.C.
• Cheyenne Mountain Rehabilitation, Inc (CMR)
• Cheyenne Mountain Therapy, LLC
• Cheyenne SNF Healthcare, LLC (Mountain View Post Acute)
• Cheyenne Village, Inc

• 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 Jun 8, 2018; 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.