Organization 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
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7009 Issued in CO
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

Updated by the provider on Nov 1, 2012

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
45852316MedicaidCO

Other names 1

  • Highlands Ranch Oral Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.