NPIMap

Organization Active NPI

Prominent Point Dental Group and Orthodontics, LLP

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1700020104
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PROMINENT POINT DENTAL GROUP AND ORTHODONTICS, LLP
Practice address
9625 Prominent Point
Suite 100
Colorado Springs, CO 80924
Phone
(719) 495-5748
Fax
(719) 785-5716
NPI assigned
Apr 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Dr. Richard Collette, DDS
Title
Owner
Phone
(719) 495-5748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9625 Prominent Point
Suite 100
Colorado Springs, CO 80924

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 368-2077

Other names 1

  • PROMINENT POINT DENTAL GROUP AND ORTHODONTICS Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2142740Prominent Point Dental Group and Orthodontics9625 Prominent Point, Colorado Springs, CO 80924Certificate of waiverJan 17, 2028

National Provider Directory

National Provider Directory

Locations

9625 Prominent Pt
Ste 100
Colorado Springs, CO 80924
Phone (719) 495-5748

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1700020104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 PROMINENT POINT",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80924",
            "telephone_number": "719-495-5748",
            "fax_number": "719-785-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMINENT POINT DENTAL GROUP AND ORTHODONTICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "COLLETTE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-495-5748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROMINENT POINT DENTAL GROUP AND ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PROMINENT POINT DENTAL GROUP AND ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.