NPIMap

Organization Active NPI

Colorado Springs Dental Services, PC

  • Prosthodontics
  • Colorado Springs, CO
National Provider Identifier
1942673397
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
7348 Issued in CO
Legal business name
COLORADO SPRINGS DENTAL SERVICES, PC
Practice address
251 E Fountain Blvd Unit 100
Colorado Springs, CO 80903-4160
Phone
(719) 591-2004
NPI assigned
Nov 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Arnold Cullum, DDS
Title
President
Phone
(719) 591-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 7348 CO Primary

Addresses

Primary practice location

251 E Fountain Blvd Unit 100
Colorado Springs, CO 80903-4160

Mailing address

251 E Fountain Blvd Unit 100
Colorado Springs, CO 80903-4160
Phone (719) 591-2004

Other names 1

  • lowell mobile dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colorado Springs Dental Services PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1942673397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E FOUNTAIN BLVD UNIT 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034160",
            "telephone_number": "719-591-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E FOUNTAIN BLVD UNIT 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034160",
            "telephone_number": "719-591-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS DENTAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "CULLUM",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-591-2004",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CO",
            "license": "7348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lowell mobile dental",
            "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 Nov 6, 2015; 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.