NPIMap

Organization Active NPI

Spring Creek Oral & Maxillofacial Surgery P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Collins, CO
National Provider Identifier
1730701426
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
SPRING CREEK ORAL & MAXILLOFACIAL SURGERY P.C.
Practice address
4609 S Timberline Rd Ste 104B
Fort Collins, CO 80528-3171
Phone
(970) 498-0196
NPI assigned
May 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Dr. David Thurgood, DDS, MSNPI 1982641056
Title
President
Phone
(970) 498-0196

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

4609 S Timberline Rd Ste 104B
Fort Collins, CO 80528-3171

Mailing address

4609 S Timberline Rd Ste 104B
Fort Collins, CO 80528-3171
Phone (970) 498-0196

Other names 1

  • Blue Sky Oral and Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

4609 S Timberline Rd
Ste 104B
Fort Collins, CO 80528
Phone (970) 498-0196

Practitioners & affiliated clinicians

Practitioners 2

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": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1730701426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 S TIMBERLINE RD STE 104B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283171",
            "telephone_number": "970-498-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 S TIMBERLINE RD STE 104B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283171",
            "telephone_number": "970-498-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CREEK ORAL & MAXILLOFACIAL SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "THURGOOD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-498-0196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Sky Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.