Organization Active NPI

Ancar Inc

Doing business as Centennial Dental Care

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1801277496
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9011 Issued in CO
Legal business name
ANCAR INC
Doing business as
Centennial Dental Care
Practice address
5731 Silverstone Ter
Suite 200
Colorado Springs, CO 80919-3575
Phone
(719) 632-7778
Fax
(719) 632-1910
NPI assigned
Jun 9, 2015
Last updated
Jun 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Dr. Carolyn T Camerino, DDS
Title
President
Phone
(719) 632-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9011 CO Primary

Addresses

Primary practice location

5731 Silverstone Ter
Suite 200
Colorado Springs, CO 80919-3575

Mailing address

5731 Silverstone Ter
Suite 200
Colorado Springs, CO 80919-3575
Phone (719) 632-7778

Other names 1

  • Centennial Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

5731 Silverstone Ter
Ste 200
Colorado Springs, CO 80919
Phone (719) 632-7778

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1801277496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5731 SILVERSTONE TER",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193575",
            "telephone_number": "719-632-7778",
            "fax_number": "719-632-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 SILVERSTONE TER",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193575",
            "telephone_number": "719-632-7778",
            "fax_number": "719-632-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "CAMERINO",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-632-7778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centennial Dental Care",
            "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 Jun 9, 2015; 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.