Organization Active NPI

Michael D Wonnacott DDS PC

  • Public Health Dentistry
  • Colorado Springs, CO
National Provider Identifier
1992686513
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
MICHAEL D WONNACOTT DDS PC
Practice address
881 Reagan HTS
Colorado Springs, CO 80921-2313
Phone
(719) 488-2222
NPI assigned
Sep 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Michael David Wonnacott, DDSNPI 1679726335
Title
President
Phone
(719) 466-3300

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
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

881 Reagan HTS
Colorado Springs, CO 80921-2313

Mailing address

881 Reagan HTS
Colorado Springs, CO 80921-2313
Phone (719) 488-2222

Other practice location 1

1880 Willow Park Way Ste 101
Monument, CO 80132-9090
Phone (719) 488-8880

Other names 2

  • Gleneagle Dental Doing business as
  • Monument Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

881 Reagan Hts
Colorado Springs, CO 80921
Phone (719) 488-2222

1880 Willow Park Way
Ste 101
Monument, CO 80132
Phone (719) 488-8880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1992686513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 REAGAN HTS",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212313",
            "telephone_number": "719-488-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 REAGAN HTS",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212313",
            "telephone_number": "719-488-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1880 Willow Park Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Monument",
            "state": "CO",
            "postal_code": "801329090",
            "country_code": "US",
            "telephone_number": "719-488-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL D WONNACOTT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "WONNACOTT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-466-3300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gleneagle Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monument Dental Arts",
            "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 Sep 10, 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.