Active NPI
Colorado Springs Oral Surgery
- Oral and Maxillofacial Surgery Clinic/Center
- Colorado Springs, CO
National Provider Identifier
1891225348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Colorado Springs Obstetrics & Gynecology, P.C.
- Colorado Springs Ocd & Trauma Treatment Center
- Colorado Springs Oral and Facial Surgery
- Colorado Springs Oral and Facial Surgery Center PLLC
- Colorado Springs Oral and Facial Surgery Center PLLC
- Colorado Springs Orthopaedic Group
- Colorado Springs Orthopaedic Group
- Colorado Springs Orthopaedic Group
- Colorado Springs Orthopaedic Group
- Colorado Springs Osteopathic Foundation
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.