Organization Active NPI

Egbert and Stilson Dental PLLC

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1881119220
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00009216 Issued in CO
Legal business name
EGBERT AND STILSON DENTAL PLLC
Practice address
9680 Nautilus PT
Colorado Springs, CO 80924-8706
Phone
(719) 494-2865
Fax
(719) 282-6091
NPI assigned
Aug 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Bobbie Wilson
Title
Office Manager
Phone
(719) 494-2865

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 00202336 CO
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 00009216 CO Primary

Addresses

Primary practice location

9680 Nautilus PT
Colorado Springs, CO 80924-8706

Mailing address

9680 Nautilus PT
Colorado Springs, CO 80924-8706
Phone (719) 494-2865

National Provider Directory

National Provider Directory

Locations

9680 Nautilus Pt
Colorado Springs, CO 80924
Phone (719) 494-2865

9235 N Union Blvd
Ste 170
Colorado Springs, CO 80920

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1881119220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 NAUTILUS PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809248706",
            "telephone_number": "719-494-2865",
            "fax_number": "719-282-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9680 NAUTILUS PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809248706",
            "telephone_number": "719-494-2865",
            "fax_number": "719-282-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGBERT AND STILSON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-494-2865"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202336",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "00009216",
            "primary": true
        }
    ],
    "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 Aug 2, 2024; 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.