Individual provider Active NPI

Craig Sommer, DDS

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1689707523
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
CO6887 Issued in CO
Practice address
1750 Telstar Dr Ste 100
Colorado Springs, CO 80920-1052
Phone
(719) 632-3591
Fax
(719) 955-0362
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X CO6887 CO Primary

Addresses

Primary practice location

1750 Telstar Dr Ste 100
Colorado Springs, CO 80920-1052

Mailing address

1750 Telstar Dr Ste 100
Colorado Springs, CO 80920-1052
Phone (719) 632-3591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150928002370 CO Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7618284696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO6887COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Craig K Sommer DDS Prof LLC General Practice CurrentSince Jan 1, 1992 Accepting new patients

Locations

1750 Telstar Dr
Ste 100
Colorado Springs, CO 80920
Phone (719) 632-3591

111 S Tejon St
Ste 310
Colorado Springs, CO 80903
Phone (719) 632-3591

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1689707523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 TELSTAR DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201052",
            "telephone_number": "719-632-3591",
            "fax_number": "719-955-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 TELSTAR DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201052",
            "telephone_number": "719-632-3591",
            "fax_number": "719-955-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMER",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "CO6887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.