NPIMap

Organization Active NPI

Colorado Springs Oral and Facial Surgery Center PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Colorado Springs, CO
National Provider Identifier
1922680388
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC
Doing business as
Colorado Springs Oral Surgery
Practice address
13540 Meadowgrass Dr Ste 215
Colorado Springs, CO 80921-3012
Phone
(719) 286-9725
NPI assigned
Apr 26, 2021
Organization subpart
Yes
Parent organization
COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Mike Cole
Title
VP Insurance Plan Management
Phone
(727) 424-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

13540 Meadowgrass Dr Ste 215
Colorado Springs, CO 80921-3012

Mailing address

13540 Meadowgrass Dr Ste 215
Colorado Springs, CO 80921-3012
Phone (719) 286-9725

Other names 1

  • Colorado Springs Oral Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colorado Springs Oral and Facial Surgery Center PLLC3 organizations share this tax ID, including this one
Part of
Colorado Springs Oral and Facial Surgery Center PLLC

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1922680388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13540 MEADOWGRASS DR STE 215",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213012",
            "telephone_number": "719-286-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13540 MEADOWGRASS DR STE 215",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213012",
            "telephone_number": "719-286-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-424-2990"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Springs Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 26, 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.