NPIMap

Organization Active NPI

Rangewood Dental

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1902202435
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
105305 Issued in CO
Legal business name
RANGEWOOD DENTAL
Practice address
3755 Briargate Blvd
#200
Colorado Springs, CO 80920-4195
Phone
(719) 632-2952
Fax
(719) 599-9400
NPI assigned
Nov 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Authorized official

Name
Dr. Gary N Hickenlooper, DDSNPI 1649357666
Title
Owner
Phone
(719) 632-2952

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 105305 CO Primary

Addresses

Primary practice location

3755 Briargate Blvd
#200
Colorado Springs, CO 80920-4195

Mailing address

3755 Briargate Blvd
#200
Colorado Springs, CO 80920-4195
Phone (719) 632-2952

National Provider Directory

National Provider Directory

Locations

3755 Briargate Blvd
Ste 200
Colorado Springs, CO 80920
Phone (719) 434-5800

Practitioners & affiliated clinicians

Practitioners 2

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": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1902202435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 BRIARGATE BLVD",
            "address_2": "#200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204195",
            "telephone_number": "719-632-2952",
            "fax_number": "719-599-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 BRIARGATE BLVD",
            "address_2": "#200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204195",
            "telephone_number": "719-632-2952",
            "fax_number": "719-599-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANGEWOOD DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "HICKENLOOPER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-632-2952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "105305",
            "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 Nov 11, 2014; 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.