Active NPI
Highlands Ranch Center for Aesthetic & Maxillofacial Surgery
Doing business as Highlands Ranch Oral Surgery Center
- Dentist
- Highlands Ranch, CO
National Provider Identifier
1881948651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7009
- Legal business name
- HIGHLANDS RANCH CENTER FOR AESTHETIC & MAXILLOFACIAL SURGERY
- Doing business as
- Highlands Ranch Oral Surgery Center
- Practice address
- 200 W County Line Rd
Suite 230
Highlands Ranch, CO 80129-2360 - Phone
- (303) 791-0422
- Fax
- (303) 791-0564
- NPI assigned
- Nov 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen James Colm, D.M.D
- Title
- Owner
- Phone
- (303) 791-0422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7009 | CO | Primary |
Addresses
Primary practice location
200 W County Line Rd
Suite 230
Highlands Ranch, CO 80129-2360
Mailing address
200 W County Line Rd
Suite 230
Highlands Ranch, CO 80129-2360
Phone (303) 791-0422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45852316 | Medicaid | CO |
Other names 1
- Highlands Ranch Oral Surgery Center
National Provider Directory
National Provider DirectoryLocations
200 W County Line Rd
Ste 230
Highlands Ranch, CO 80129
Phone (303) 471-2277
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Pathology Dentistry
- Highlands Ranch, CO
- NPI 1821039587
-
- Oral and Maxillofacial Pathology Dentistry
- Highlands Ranch, CO
- NPI 1659312767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351728000000",
"number": "1881948651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W COUNTY LINE RD",
"address_2": "SUITE 230",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292360",
"telephone_number": "303-791-0422",
"fax_number": "303-791-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W COUNTY LINE RD",
"address_2": "SUITE 230",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292360",
"telephone_number": "303-791-0422",
"fax_number": "303-791-0564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLANDS RANCH CENTER FOR AESTHETIC & MAXILLOFACIAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-01",
"last_updated": "2012-11-01",
"status": "A",
"authorized_official_last_name": "COLM",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-791-0422",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CO",
"license": "7009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45852316",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Highlands Ranch Oral Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Highlands Ranch, CO
- Martha Hicks, SP
- Ruth A Higgins, RN
- Higher Prana LLC
- Highlands Behavioral Health System
- Highlands Foot and Ankle Clinic
- Highlands Ranch Counseling and Coaching
- Highlands Ranch Dental Center
- Highlands Ranch Dental, Professional LLC (Highlands Ranch Dental Group)
- Highlands Ranch Family Medicine PC
- Highlands Ranch Family Medicine, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.