Individual provider Active NPI

Elizabeth Paulsen, DDS

  • Pediatric Dentistry
  • Colorado Springs, CO
National Provider Identifier
1972061984
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN.00204689 Issued in CO
Practice address
4262 Royal Pine Dr Ste 100
Colorado Springs, CO 80920-2824
Phone
(415) 990-6229
NPI assigned
Mar 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 30.026057 OH
Pediatric Dentistry 1223P0221X DEN.00204689 CO Primary
Dentist 122300000X 30.026057 OH

Addresses

Primary practice location

4262 Royal Pine Dr Ste 100
Colorado Springs, CO 80920-2824

Mailing address

4262 Royal Pine Dr Ste 100
Colorado Springs, CO 80920-2824
Phone (415) 990-6229

Other practice location 1

4515 Broadmoor Bluffs Dr
Colorado Springs, CO 80906-8647
Phone (719) 900-5558

Other practice location 2

380 Butterfly Gardens Dr
Columbus, OH 43215-7508
Phone (614) 722-5651

Other identifiers 1

IdentifierTypeStateIssuer
9000213171MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00204689COMDPediatric Dentist
30.026057OHMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodland Park Pediatric Dentistry Pediatric Dentistry Current Accepting new patients
Life Pediatric Dentistry Pediatric Dentistry CurrentSince Aug 10, 2025 Accepting new patients

Locations

4262 Royal Pine Dr
Ste 100
Colorado Springs, CO 80920
Phone (415) 990-6229

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1972061984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 ROYAL PINE DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202824",
            "telephone_number": "415-990-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4262 ROYAL PINE DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202824",
            "telephone_number": "415-990-6229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4515 Broadmoor Bluffs Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809068647",
            "country_code": "US",
            "telephone_number": "719-900-5558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Butterfly Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432157508",
            "country_code": "US",
            "telephone_number": "614-722-5651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "ELIZABETH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.026057",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "DEN.00204689",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.026057",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000213171",
            "state": "CO"
        }
    ],
    "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 Aug 8, 2025; 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.