Individual provider Active NPI

Elena Ogan, D.M.D.

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1851532568
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00205889 Issued in CO
Practice address
219 W Colorado Ave Ste 206
Colorado Springs, CO 80903-3338
Phone
(719) 447-1199
NPI assigned
Mar 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00205889 CO Primary
Dentist 122300000X 22DI02401300 NJ
General Practice Dentistry 1223G0001X DDS100984 CA
Dentist 122300000X DS039391 PA

Addresses

Primary practice location

219 W Colorado Ave Ste 206
Colorado Springs, CO 80903-3338

Mailing address

6665 Glade Park Dr
Colorado Springs, CO 80918-4722
Phone (916) 677-9097

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00205889COMDDentist
22DI02401300NJMDDentist
DDS100984CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Elena Ogan DMD, LLC Past Accepting new patients
Seth a Kimmelman DDS PC Dentist PastSince Feb 23, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1851532568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6665 GLADE PARK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184722",
            "telephone_number": "916-677-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W COLORADO AVE STE 206",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033338",
            "telephone_number": "719-447-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGAN",
        "first_name": "ELENA",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2025-02-13",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205889",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02401300",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS100984",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039391",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 13, 2025; 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.