Organization Active NPI

White Diamond Dental

  • Dental Clinic/Center
  • Monument, CO
National Provider Identifier
1891663357
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WHITE DIAMOND DENTAL
Practice address
15854 Jackson Creek Pkwy # 140a
Monument, CO 80132-8662
Phone
(719) 344-2191
Fax
(719) 247-2295
NPI assigned
Oct 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Scott Wayne Hirsbrunner, DMDNPI 1154848455
Title
Dentist/Owner
Phone
(719) 344-2191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

15854 Jackson Creek Pkwy # 140a
Monument, CO 80132-8662

Mailing address

15854 Jackson Creek Pkwy # 140a
Monument, CO 80132-8662
Phone (719) 344-2191

National Provider Directory

National Provider Directory
Tax ID family
Preventative Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15854 Jackson Creek Pkwy
#140A
Monument, CO 80132
Phone (719) 344-2191

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1891663357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15854 JACKSON CREEK PKWY # 140A",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328662",
            "telephone_number": "719-344-2191",
            "fax_number": "719-247-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15854 JACKSON CREEK PKWY # 140A",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328662",
            "telephone_number": "719-344-2191",
            "fax_number": "719-247-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE DIAMOND DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "HIRSBRUNNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "719-344-2191",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.