Organization Active NPI

Michael Kofford DMD; PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pueblo, CO
National Provider Identifier
1851693469
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8999 Issued in CO
Legal business name
MICHAEL KOFFORD DMD; PLLC
Practice address
501 Quincy St
Pueblo, CO 81004-2064
Phone
(719) 545-7600
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Dr. Michael Dean Kofford, DMD, MSD
Title
Orthodontist
Phone
(303) 907-8873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 8999 CO Primary

Addresses

Primary practice location

501 Quincy St
Pueblo, CO 81004-2064

Mailing address

501 Quincy St
Pueblo, CO 81004-2064
Phone (719) 545-7600

National Provider Directory

National Provider Directory

Locations

501 Quincy St
Pueblo, CO 81004
Phone (719) 545-7600

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1851693469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 QUINCY ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042064",
            "telephone_number": "719-545-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 QUINCY ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042064",
            "telephone_number": "719-545-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL KOFFORD DMD; PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "KOFFORD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "303-907-8873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "8999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.