Organization Active NPI

John N. Ordahl DDS Ms

  • Dental Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1801027925
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5462 Issued in CO
Legal business name
JOHN N. ORDAHL DDS MS
Practice address
3505 Austin Bluffs Pkwy Ste 215
Colorado Springs, CO 80918-5754
Phone
(719) 596-3098
Fax
(719) 596-3099
NPI assigned
Aug 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Authorized official

Name
Dr. John Ordahl, DDS, MSNPI 1851377014
Title
Owner
Phone
(719) 596-3098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5462 CO Primary

Addresses

Primary practice location

3505 Austin Bluffs Pkwy Ste 215
Colorado Springs, CO 80918-5754

Mailing address

3505 Austin Bluffs Pkwy Ste 215
Colorado Springs, CO 80918-5754
Phone (719) 596-3098

Other identifiers 1

IdentifierTypeStateIssuer
02054625MedicaidCO

National Provider Directory

National Provider Directory

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": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1801027925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 AUSTIN BLUFFS PKWY STE 215",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185754",
            "telephone_number": "719-596-3098",
            "fax_number": "719-596-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 AUSTIN BLUFFS PKWY STE 215",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185754",
            "telephone_number": "719-596-3098",
            "fax_number": "719-596-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN N. ORDAHL DDS MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "ORDAHL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-596-3098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "5462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02054625",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 21, 2021; 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.