Organization Active NPI

Colorado Springs Oral Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1891225348
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
COLORADO SPRINGS ORAL SURGERY
Practice address
3100 N Academy Blvd Ste 213
Colorado Springs, CO 80917-5332
Phone
(719) 597-4060
Fax
(719) 574-2140
NPI assigned
Jun 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Cynthia Katherine Ostrom
Title
Credentialing/Billing
Phone
(719) 597-4060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

3100 N Academy Blvd Ste 213
Colorado Springs, CO 80917-5332

Mailing address

3100 N Academy Blvd Ste 213
Colorado Springs, CO 80917-5332
Phone (719) 597-4060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891225348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N ACADEMY BLVD STE 213",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175332",
            "telephone_number": "719-597-4060",
            "fax_number": "719-574-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N ACADEMY BLVD STE 213",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175332",
            "telephone_number": "719-597-4060",
            "fax_number": "719-574-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OSTROM",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING",
        "authorized_official_telephone_number": "719-597-4060",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "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 Jul 21, 2022; 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.