Briargate Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7823 Issued in CO

Legal business name

BRIARGATE PEDIATRIC DENTISTRY

Practice address

3466 Briargate Blvd
Colorado Springs, CO 80920-4168

Phone

(719) 260-1600

Fax

(719) 260-1640

NPI assigned

May 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward A Souza, D.M.D.

Title

President

Phone

(719) 260-1600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790997161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 BRIARGATE BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204168",
            "telephone_number": "719-260-1600",
            "fax_number": "719-260-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 BRIARGATE BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204168",
            "telephone_number": "719-260-1600",
            "fax_number": "719-260-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIARGATE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOUZA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-260-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "7823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian J Keller DDS & Tracie E Keller DDS Prof LLP
• Jenevieve Marie Briand
• Rebecca L Briar, PHARMD
• Briargate Endoscopy Center, LLC
• Briargate Medical Center, LLC
• Briargate Speech and Literacy, LLC
• Shiloh Brice, LMT
• Nathan Brickbealer, ATC
• Ashley Marie Brickell, PHARMD
• Sarah Camiell Brickens

• Dental Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.