NPIMap

Organization Active NPI

Oasis Prosthodontics

  • Dental Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1740834829
Registry record updated Jul 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OASIS PROSTHODONTICS
Practice address
685 Citadel Dr E Ste 313
Colorado Springs, CO 80909-5316
Phone
(719) 574-2417
NPI assigned
Jul 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2019

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

Authorized official

Name
Dr. Marina FuntikNPI 1316176316
Title
Owner Dentist
Phone
(719) 574-2417

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

685 Citadel Dr E Ste 313
Colorado Springs, CO 80909-5316

Mailing address

685 Citadel Dr E Ste 313
Colorado Springs, CO 80909-5316
Phone (719) 574-2417

National Provider Directory

National Provider Directory

Locations

685 Citadel Dr E
Ste 313
Colorado Springs, CO 80909
Phone (719) 574-1741

Practitioners & affiliated clinicians

Practitioners 1

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": "1564272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564272000000",
    "number": "1740834829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E STE 313",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095316",
            "telephone_number": "719-574-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E STE 313",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095316",
            "telephone_number": "719-574-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS PROSTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-28",
        "last_updated": "2019-07-28",
        "status": "A",
        "authorized_official_last_name": "FUNTIK",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "719-574-2417",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 28, 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.