NPIMap

Organization Active NPI

Colorado Springs Plastic Surgery

  • Plastic Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1962498717
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
18974 Issued in CO
Legal business name
COLORADO SPRINGS PLASTIC SURGERY
Practice address
2727 N Tejon St
Colorado Springs, CO 80907-6231
Phone
(719) 632-1818
Fax
(719) 632-4615
NPI assigned
Sep 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Georgette Mathews
Title
Billing Representative
Phone
(719) 632-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 18974 CO Primary

Addresses

Primary practice location

2727 N Tejon St
Colorado Springs, CO 80907-6231

Mailing address

2727 N Tejon St
Colorado Springs, CO 80907-6231
Phone (719) 632-1818

Other identifiers 1

IdentifierTypeStateIssuer
01189745MedicaidCO

Other names 1

  • David D Dubois MD Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962498717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 N TEJON ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076231",
            "telephone_number": "719-632-1818",
            "fax_number": "719-632-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 N TEJON ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076231",
            "telephone_number": "719-632-1818",
            "fax_number": "719-632-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "GEORGETTE",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "719-632-1818",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "18974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01189745",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David D Dubois MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.