Summit Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7239 Issued in CO

Legal business name

SUMMIT DENTAL

Practice address

5725 Erindale Dr Ste 100
Colorado Springs, CO 80918-1984

Phone

(719) 630-3554

NPI assigned

Jul 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Amy Williams Trujillo, DDS

Title

Owner

Phone

(719) 630-3554

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1730344540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 ERINDALE DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 ERINDALE DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181984",
            "telephone_number": "719-630-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-630-3554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Chiropractic 3
• Summit Chiropractic PC
• Summit Chiropractic, PLLC
• Summit Counseling
• Summit Counseling Services, PLLC
• Summit Dental Care One
• Summit Dermatology, P.C.
• Summit Hearing Aid Center
• Summit Home Health Care Inc
• Summit Integrated Health PLLC

• General Practice Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.