Courtney R. College, DDS, Ms, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

COURTNEY R. COLLEGE, DDS, MS, PC

Practice address

10146 W San Juan Way
Suite 220
Littleton, CO 80127-6326

Phone

(303) 979-9500

Fax

(303) 979-0140

NPI assigned

Jul 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Courtney R. CollegeNPI 1811940943

Title

President

Phone

(303) 979-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kids to College Pediatric Dentistry Doing business as

Tax ID family

Courtney R College DDS Ms PC2 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.

• Courtney R. College, DDS, Ms, PC

  • Pediatric Dentistry
  • Evergreen, CO
  • NPI 1780276873
  NPD tax ID

Locations

Practitioners 2

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

• Courtney R. College, DDS, MS

  • Pediatric Dentistry
  • Littleton, CO
  • NPI 1811940943
  NPD Authorized official
• Marcie Ahman Flack, D.D.S.

  • Pediatric Dentistry
  • Littleton, CO
  • NPI 1609021740
  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1891994257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10146 W SAN JUAN WAY",
            "address_2": "SUITE 220",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276326",
            "telephone_number": "303-979-9500",
            "fax_number": "303-979-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10146 W SAN JUAN WAY",
            "address_2": "SUITE 220",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276326",
            "telephone_number": "303-979-9500",
            "fax_number": "303-979-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY R. COLLEGE, DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "COLLEGE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-979-9500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71853073",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids to College Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Couchman
• Marc Jeffrey Coulter
• Counseling and Case Management Services, LLC
• Haley Coursen, DPT
• Alexandria Coursol
• Drew Joseph Courtney, DPT
• David Courtright, PMHNP-BC
• Angeline Coutlakis - Fulmer, RN
• Julia Ann Covelli Pachek, FNP-C
• Theresa Ann Covey, OT

• Pediatric Dentistry in Littleton, CO
• Providers in Littleton, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.