Active NPI
Dentists of Interquest and Orthodontics
- General Practice Dentistry
- Colorado Springs, CO
National Provider Identifier
1902651318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTISTS OF INTERQUEST AND ORTHODONTICS
- Practice address
- 1824 Democracy Point
Suite 140
Colorado Springs, CO 80908 - Phone
- (719) 867-4291
- NPI assigned
- Apr 19, 2024
- 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
- Evan Fraiser
- Title
- Owner
- Phone
- (714) 845-8500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1824 Democracy Point
Suite 140
Colorado Springs, CO 80908
Mailing address
PO Box 920050
Dallas, TX 75392-0050
National Provider Directory
National Provider DirectoryLocations
1824 Democracy Pt
Ste 140
Colorado Springs, CO 80908
Phone (719) 867-4291
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dental Hygienist
- Colorado Springs, CO
- NPI 1205718434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713484800000",
"number": "1902651318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 920050",
"city": "DALLAS",
"state": "TX",
"postal_code": "753920050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 DEMOCRACY POINT",
"address_2": "SUITE 140",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80908",
"telephone_number": "719-867-4291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTISTS OF INTERQUEST AND ORTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-19",
"last_updated": "2024-04-19",
"certification_date": "2024-04-12",
"status": "A",
"authorized_official_last_name": "FRAISER",
"authorized_official_first_name": "EVAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-845-8500"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"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 Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.