Active NPI
Christopher M. Root, DDS
- General Practice Dentistry
- Colorado Springs, CO
National Provider Identifier
1851466007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7761
- Practice address
- 3630 Austin Bluffs Pkwy Ste 100
Colorado Springs, CO 80918-6663 - Phone
- (719) 304-5400
- Fax
- (719) 304-5409
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- 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 | 7761 | CO | Primary |
Addresses
Primary practice location
3630 Austin Bluffs Pkwy Ste 100
Colorado Springs, CO 80918-6663
Mailing address
2785 Heathrow Dr
Colorado Springs, CO 80920-7233
Phone (719) 291-4749
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851466007 | Medicaid | CO | |
| DEN.00007761 | Other | CO | CO DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7761 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hero Vision of Denver LLC | Past | Accepting new patients | |
| Hero Dental of Springs PC | General Practice | Past | Accepting new patients |
| Akvc North LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Academy Kids Vision
- Medical Specialty Clinic/Center
- Colorado Springs, CO
- NPI 1013330208
-
dba Academy Kids Dental and Orthodontics
- General Practice Dentistry
- Colorado Springs, CO
- NPI 1568795847
-
dba Adventure Dental Vision and Orthondontics
- Optometrist
- Denver, CO
- NPI 1962762765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1851466007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2785 HEATHROW DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207233",
"telephone_number": "719-291-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 AUSTIN BLUFFS PKWY STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186663",
"telephone_number": "719-304-5400",
"fax_number": "719-304-5409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOT",
"first_name": "CHRISTOPHER",
"middle_name": "M.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "7761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851466007",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CO DENTAL LICENSE",
"identifier": "DEN.00007761",
"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 Nov 2, 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.