Active NPI
Elizabeth Paulsen, DDS
- Pediatric Dentistry
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DEN.00204689
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000213171 | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00204689 | CO | MD | Pediatric Dentist |
| 30.026057 | OH | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodland Park Pediatric Dentistry | Pediatric Dentistry | Current | Accepting new patients |
| Life Pediatric Dentistry | Pediatric Dentistry | Current | 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.
-
- Pediatric Dentistry
- Colorado Springs, CO
- NPI 1326864778
-
- Pediatric Dentistry
- Woodland Park, CO
- NPI 1528932357
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.