Organization Active NPI

Kenneth C. Pollary DDS PLLC

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1780185462
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9425 Issued in CO
Legal business name
KENNETH C. POLLARY DDS PLLC
Practice address
3204 N Academy Blvd Ste 210
Colorado Springs, CO 80917-5163
Phone
(719) 591-0750
NPI assigned
Feb 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Authorized official

Name
Dr. Kenneth Pollary, DDS
Title
President
Phone
(719) 591-0750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9425 CO Primary

Addresses

Primary practice location

3204 N Academy Blvd Ste 210
Colorado Springs, CO 80917-5163

Mailing address

3204 N Academy Blvd Ste 210
Colorado Springs, CO 80917-5163
Phone (719) 591-0750

Other names 1

  • Pollary Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3204 N Academy Blvd
Ste 210
Colorado Springs, CO 80917
Phone (719) 591-0750

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": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1780185462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 N ACADEMY BLVD STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175163",
            "telephone_number": "719-591-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 N ACADEMY BLVD STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175163",
            "telephone_number": "719-591-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C. POLLARY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "POLLARY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-591-0750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "9425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pollary Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 27, 2018; 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.