Organization Active NPI

Daniel a. Avant DDS MSD PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colorado Springs, CO
National Provider Identifier
1851609655
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6191 Issued in CO
Legal business name
DANIEL A. AVANT DDS MSD PC
Practice address
685 Citadel Dr E
Suite 312
Colorado Springs, CO 80909-5314
Phone
(719) 596-1363
Fax
(719) 596-1571
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Daniel Adam Avant, D.D.S.
Title
President
Phone
(719) 596-1363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 6191 CO Primary

Addresses

Primary practice location

685 Citadel Dr E
Suite 312
Colorado Springs, CO 80909-5314

Mailing address

685 Citadel Dr E
Suite 312
Colorado Springs, CO 80909-5314
Phone (719) 596-1363

Other identifiers 1

IdentifierTypeStateIssuer
1467573592OtherCOTYPE I

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1851609655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E",
            "address_2": "SUITE 312",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095314",
            "telephone_number": "719-596-1363",
            "fax_number": "719-596-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E",
            "address_2": "SUITE 312",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095314",
            "telephone_number": "719-596-1363",
            "fax_number": "719-596-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL A. AVANT DDS MSD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "AVANT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-596-1363",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "6191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I",
            "identifier": "1467573592",
            "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 Sep 15, 2010; 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.