South Powers Dental Prof LLC

Primary specialty

DentistTaxonomy code 122300000X

License

9312 Issued in CO

Legal business name

SOUTH POWERS DENTAL PROF LLC

Practice address

1580 Space Center Drive
Suite 107
Colorado Springs, CO 80915

Phone

(719) 574-8922

Fax

(719) 574-8924

NPI assigned

Nov 17, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Beverly A Cook

Title

Manager

Phone

(719) 574-8922

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Nathan Ryan Budge, D.M.D.

  • Dentist
  • Colorado Springs, CO
  • NPI 1528129343
  NPD (past)
• Spencer James Campbell, DMD

  • Pediatric Dentistry
  • Colorado Springs, CO
  • NPI 1720214455
  NPD (past)
• Benjamin G Weir, DDS

  • Dentist
  • Colorado Springs, CO
  • NPI 1164596011
  NPD (past)

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502236800000",
    "number": "1891022505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SPACE CENTER DR",
            "address_2": "SUITE 107",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152445",
            "telephone_number": "719-574-8922",
            "fax_number": "719-574-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SPACE CENTER DRIVE",
            "address_2": "SUITE 107",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80915",
            "telephone_number": "719-574-8922",
            "fax_number": "719-574-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH POWERS DENTAL PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2017-08-09",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-574-8922",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "9312",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "10001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soul Attention, LLC
• Soul Mender, LLC
• Soullabor LLC
• Claudevania Sousa Dantas
• Teresa Sousa
• South Spring Lab, LLC
• South Springs Dental Professional LLC
• James Willis South, PA-C
• Leanne South, PT, DPT
• Samuel D. South, MD

• Dentist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.