Theodor Elmond Ostrom, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3266 Issued in CO

Practice address

1145 Willow Bend Cir. #2
Colorado Springs, CO 80918-7035

Phone

(719) 594-2050

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1962490144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 WILLOW BEND CIR APT 2",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187035",
            "telephone_number": "719-594-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 WILLOW BEND CIR. #2",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187035",
            "telephone_number": "719-594-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTROM",
        "first_name": "THEODOR",
        "middle_name": "ELMOND",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "3266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Woodard Osterholzer, CPM
• Peggy Marie Osterman, NNP-BC
• Emberlynn Ostler
• Ostomy, Incorporated
• Margaret Ostrom
• Megan Ostrowski, PA-C
• Joanna Dace Osullivan, CNIM
• Oswald Chiropractic & Wellness LLC
• Johnathon Oswald
• Melissa Parker Oswald, D.C.

• General Practice Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.