Colorado Springs Oral and Facial Surgery Center PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC

Practice address

1644 Medical Center PT # 101
Colorado Springs, CO 80907-5764

Phone

(719) 497-9162

Fax

(719) 597-4060

NPI assigned

May 10, 2019

Last updated

Nov 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mike Cole

Title

VP Insurnace Plan Management

Phone

(727) 424-2990

Specialties & licenses 1

Addresses

Tax ID family

Colorado Springs Oral and Facial Surgery Center PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Colorado Springs Oral and Facial Surgery Center PLLC

  dba Oral Surgery Associates of Pueblo

  • Oral and Maxillofacial Surgery (Dentist)
  • Pueblo, CO
  • NPI 1588246946
  NPD tax ID
• Colorado Springs Oral and Facial Surgery Center PLLC

  dba Colorado Springs Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Colorado Springs, CO
  • NPI 1922680388
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

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

• Colorado Springs Oral and Facial Surgery Center PLLC

  dba Oral Surgery Associates of Pueblo

  • Oral and Maxillofacial Surgery (Dentist)
  • Pueblo, CO
  • NPI 1588246946
  NPPES parent name
• Colorado Springs Oral and Facial Surgery Center PLLC

  dba Colorado Springs Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Colorado Springs, CO
  • NPI 1922680388
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ben Adam Charles Bailey, D.M.D

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Pueblo, CO
  • NPI 1689916611
  NPD (past)
• David Sterling Drake, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Colorado Springs, CO
  • NPI 1316475932
  NPD (past)

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1689230104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 MEDICAL CENTER PT STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 MEDICAL CENTER PT # 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075764",
            "telephone_number": "719-497-9162",
            "fax_number": "719-597-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3691 Parker Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810082278",
            "country_code": "US",
            "telephone_number": "719-212-0777",
            "fax_number": "719-302-1774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13540 Meadowgrass Dr Ste 215",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809213012",
            "country_code": "US",
            "telephone_number": "719-286-9725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURNACE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-424-2990"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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 Nov 29, 2023; 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.