Active NPI
Kirsten L Ziuchkovski, DDS
- General Practice Dentistry
- Colorado Springs, CO
National Provider Identifier
1780844084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8770
- Practice address
- 2828 International Cir
Colorado Springs, CO 80910-3127 - Phone
- (719) 475-0783
- Fax
- (719) 475-7478
- NPI assigned
- Jun 11, 2008
- Last updated
- Jun 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8770 | CO | Primary |
Addresses
Primary practice location
2828 International Cir
Colorado Springs, CO 80910-3127
Mailing address
340 Printers Pkwy
Colorado Springs, CO 80910-3190
Phone (719) 630-6440
Other names 1
- Dr. Kirsten L. Olson
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150401000116 | CO | Order and Referring Only - Dentist | 4981921947 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8770 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1780844084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 PRINTERS PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103190",
"telephone_number": "719-630-6440",
"fax_number": "719-228-6609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 INTERNATIONAL CIR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103127",
"telephone_number": "719-475-0783",
"fax_number": "719-475-7478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIUCHKOVSKI",
"first_name": "KIRSTEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "8770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIRSTEN",
"last_name": "OLSON",
"middle_name": "L.",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.