Organization Active NPI

Marquis Mobile Dental Services of Colorado, LLC

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1699269480
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARQUIS MOBILE DENTAL SERVICES OF COLORADO, LLC
Practice address
8234 Winding Passage Dr
Colorado Springs, CO 80924-8114
Phone
(901) 634-2982
NPI assigned
Jun 15, 2018
Last updated
Jun 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Authorized official

Name
Dr. Kimberly Khoo Napper, PHARM. D.
Title
Assistant
Phone
(901) 634-2982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8234 Winding Passage Dr
Colorado Springs, CO 80924-8114

Mailing address

PO Box 332640
Murfreesboro, TN 37133-2640
Phone (615) 225-0938

Other identifiers 1

IdentifierTypeStateIssuer
1568553105MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1699269480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332640",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371332640",
            "telephone_number": "615-225-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8234 WINDING PASSAGE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809248114",
            "telephone_number": "901-634-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUIS MOBILE DENTAL SERVICES OF COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "NAPPER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KHOO",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "901-634-2982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568553105",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.