Organization Active NPI

Michael Coughlin DDS, PLLC

Doing business as Blue Springs Family Dental

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1982112934
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MICHAEL COUGHLIN DDS, PLLC
Doing business as
Blue Springs Family Dental
Practice address
5944 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80923-3506
Phone
(719) 394-3444
NPI assigned
Jan 11, 2018
Last updated
Jan 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Authorized official

Name
Dr. Michael CoughlinNPI 1811334600
Title
Owner
Phone
(719) 394-3444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

5944 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80923-3506

Mailing address

5944 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80923-3506
Phone (719) 394-3444

Other names 1

  • Blue Springs Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5944 Stetson Hills Blvd
Ste 100
Colorado Springs, CO 80923
Phone (719) 394-3444

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1982112934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 STETSON HILLS BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233506",
            "telephone_number": "719-394-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5944 STETSON HILLS BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233506",
            "telephone_number": "719-394-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL COUGHLIN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "COUGHLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-394-3444",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Springs Family 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 Jan 11, 2018; 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.