Individual provider Active NPI

Amanda Marie Tompkins, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colorado Springs, CO
National Provider Identifier
1982120218
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
00203316 Issued in CO
Practice address
9334 Grand Cordera Pkwy
Colorado Springs, CO 80924-7000
Phone
(719) 282-6666
NPI assigned
Aug 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 00203316 CO Primary

Addresses

Primary practice location

9334 Grand Cordera Pkwy
Colorado Springs, CO 80924-7000

Mailing address

2606 Lake of the Rockies Dr
Monument, CO 80132-7500
Phone (719) 360-8130

Other practice location 1

850 Sky Vista Pt
Colorado Springs, CO 80921-2314
Phone (719) 282-6666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190612002064 CO Practitioner - Dentist 7315270022 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
00203316COMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson Pediatric Dentistry & Orthodontics PC Orthodontics and Dentofacial Orthopedics CurrentSince May 4, 2025 Accepting new patients
Monument Child Dental & Orthodontic Specialists PC Orthodontics and Dentofacial Orthopedics CurrentSince Jul 3, 2022 Accepting new patients
Peak Vista Community Health Centers CurrentSince Apr 15, 2019 Accepting new patients
Peak Vista Community Health Centers CurrentSince Apr 15, 2019 Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

2828 International Cir
Ste 140
Colorado Springs, CO 80910
Phone (719) 344-7131

850 Sky Vista Pt
Colorado Springs, CO 80921
Phone (719) 282-6666

9334 Grand Cordera Pkwy
Colorado Springs, CO 80924
Phone (719) 282-6666

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

Organizations & group practices 4

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": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1982120218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 LAKE OF THE ROCKIES DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801327500",
            "telephone_number": "719-360-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9334 GRAND CORDERA PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247000",
            "telephone_number": "719-282-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Sky Vista Pt",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809212314",
            "country_code": "US",
            "telephone_number": "719-282-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMPKINS",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "00203316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.