Pine Top Orthodontics PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PINE TOP ORTHODONTICS PC

Practice address

9475 Briar Village PT Ste 315
Colorado Springs, CO 80920-7905

Phone

(719) 481-9199

NPI assigned

Dec 23, 2019

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell H. Ford, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colorado Springs, CO
  • NPI 1962488858
  NPD (past)

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1790324770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 BRIAR VILLAGE PT STE 315",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207905",
            "telephone_number": "719-481-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 BRIAR VILLAGE PT STE 315",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207905",
            "telephone_number": "719-481-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE TOP ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Pina, RN, BSN, IBCLC
• Veronica Williams Pinckney-Shaw
• Pine Creek Imaging, LLC
• Pine Creek Vision Center, P.C.
• Pine Ridge Family Medicine Inc
• Chelsea Louise Pine, PTA
• Abimael Pineda Torres
• Angel Pineda
• Fabricia Pineda
• Kelsey Pineda

• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.