Individual provider Active NPI

Brent Abraham Lamm, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colorado Springs, CO
National Provider Identifier
1780022004
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
10647 Issued in CO
Practice address
6566 N Marksheffel Rd
Colorado Springs, CO 80923-4252
Phone
(719) 596-3113
NPI assigned
Jun 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10647 CO
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 10647 CO Primary

Addresses

Primary practice location

6566 N Marksheffel Rd
Colorado Springs, CO 80923-4252

Mailing address

11121 Cypress Tree PT Apt 304
Colorado Springs, CO 80921-7706
Phone (801) 721-3205

Other practice location 1

6665 DelMonico Dr
Colorado Springs, CO 80919-6801
Phone (719) 596-3113

Other practice location 2

1415 Cipriani Loop
Monument, CO 80132-8621
Phone (719) 596-3113

Other practice location 3

7560 Rangewood Dr
Colorado Springs, CO 80920-4199
Phone (719) 596-3113

Other practice location 4

501 S Tejon St
Colorado Springs, CO 80903-3901
Phone (719) 596-3113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730011769 CO Order and Referring Only - DentistPractitioner - Dentist 7214241587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10647COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Watts Orthodontics PC Orthodontics and Dentofacial Orthopedics PastSince May 9, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1780022004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 CYPRESS TREE PT APT 304",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217706",
            "telephone_number": "801-721-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6566 N MARKSHEFFEL RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809234252",
            "telephone_number": "719-596-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6665 DelMonico Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809196801",
            "country_code": "US",
            "telephone_number": "719-596-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Cipriani Loop",
            "address_purpose": "LOCATION",
            "city": "Monument",
            "state": "CO",
            "postal_code": "801328621",
            "country_code": "US",
            "telephone_number": "719-596-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7560 Rangewood Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809204199",
            "country_code": "US",
            "telephone_number": "719-596-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S Tejon St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809033901",
            "country_code": "US",
            "telephone_number": "719-596-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMM",
        "first_name": "BRENT",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-08",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10647",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "10647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.