NPIMap

Organization Active NPI

Colorado Springs Sleep and Wellness, LLC

  • Customized Equipment (DME)
  • Colorado Springs, CO
National Provider Identifier
1720545007
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
COLORADO SPRINGS SLEEP AND WELLNESS, LLC
Practice address
595 Chapel Hills Dr Ste 105
Colorado Springs, CO 80920-1024
Phone
(719) 475-2511
Fax
(719) 475-8425
NPI assigned
Feb 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
Dr. Gregory Bardin Moore, DDSNPI 1477579308
Title
Owner/Dentist
Phone
(719) 475-2511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

595 Chapel Hills Dr Ste 105
Colorado Springs, CO 80920-1024

Mailing address

595 Chapel Hills Dr Ste 105
Colorado Springs, CO 80920-1024
Phone (719) 475-2511

Other identifiers 1

IdentifierTypeStateIssuer
106234OtherCOSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

595 Chapel Hills Dr
Ste 105
Colorado Springs, CO 80920
Phone (719) 475-2511

Practitioners & affiliated clinicians

Practitioners 5

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": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1720545007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CHAPEL HILLS DR STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201024",
            "telephone_number": "719-475-2511",
            "fax_number": "719-475-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 CHAPEL HILLS DR STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201024",
            "telephone_number": "719-475-2511",
            "fax_number": "719-475-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS SLEEP AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "BARDIN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "719-475-2511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "106234",
            "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 Feb 22, 2019; 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.