MCCOMBS PERIODONTICS LLC (NPI# 1053727024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053727024 |
| Entity Type | Organization |
| Organization Name | MCCOMBS PERIODONTICS LLC |
| Practice Address |
13335 Voyager Pkwy Suite 130 Colorado Springs CO 80921-7657 |
| Practice Telephone | 7193680950 |
| Mailing Telephone | 7193680950 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |
| Authorized Official Name | JOSEPH K MCCOMBS (DOCTOR) |
| Authorized Official Telephone | 7193680950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DEN.00202187 | CO | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | McCombs Periodontics LLC | 452 Fox Run Cir, Colorado Springs, CO 80921 |
| Street Address |
13335 VOYAGER PKWY SUITE 130 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80921-7657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279699 | Play 4 Healing Pllc | Counselor | 13550 Northgate Estates Drive, Colorado Springs, CO 80921 | 2020-09-15 |
| 1740894039 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - Md, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1003420324 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - App, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1417519893 | Michelle Wright | Counselor | 11681 Voyager Parkway, Suite 150, Colorado Springs, CO 80921 | 2019-07-05 |
| 1780241083 | Lindsay Afton Barker | Counselor | Whole Kids Co., 11681 Voyager Pkwy, Ste 150, Colorado Springs, CO 80921 | 2019-05-22 |
| 1063076321 | Octavia Cormier | Counselor | 11681 Voyager Pkwy, Unit 150, Colorado Springs, CO 80921 | 2019-04-23 |
| 1225538630 | Northgate Family Chiropractic LLC | Chiropractor | 12245 Voyager Pkwy Ste 124, Colorado Springs, CO 80921 | 2018-02-13 |
| 1942712351 | Candace Grace Kaminski | Massage Therapist | 59 Avocet Loop, Colorado Springs, CO 80921 | 2017-10-26 |
| 1801319108 | Rebecca Freed | Physical Therapist | 13570 Northgate Estates Dr. Ste 100, Colorado Springs, CO 80921 | 2017-07-19 |
| 1174076582 | Jan L Wilkenson | Counselor | Heart Matters Counseling Center, 13550 Northgate Estates Drive, #200, Colorado Springs, CO 80921 | 2016-08-02 |
| Find all providers in zip 80921 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306869508 | James E. Orban | Dentist | 12245 Howells Rd, Colorado Springs, CO 80908-3700 | 2006-07-26 |
| 1538152806 | Thomas James Lynch | Dentist | 1675 Briargate Blvd, Ste C, Colorado Springs, CO 80920-3452 | 2005-08-23 |
| 1699973636 | Marmar Modarressi | Dentist | 1050 S 8th St, Colorado Springs, CO 80906-1307 | 2007-07-10 |
| 1356554828 | James Robert Norris | Dentist | 1975 Research Pkwy, Ste 305, Colorado Springs, CO 80920-1025 | 2007-05-08 |
| 1558581298 | Karl Lackler | Dentist | 685 Citadel Dr E, Suite 200, Colorado Springs, CO 80909-5314 | 2007-04-26 |
| 1619196342 | Geoffrey Haradon | Dentist | 685 Citadel Dr E, Suite 200, Colorado Springs, CO 80909-5314 | 2007-04-24 |
| 1205052842 | Rocky Mountain Periodontal Specialists | Dentist | 685 Citadel Dr E, Suite 200, Colorado Springs, CO 80909-5314 | 2007-04-18 |
| 1407070642 | Brian Douglas Fitzpatrick | Dentist | 320 E Fontanero St, Colorado Springs, CO 80907-7529 | 2007-04-12 |
| 1790810299 | Dan I Degeare | Dentist | 1819 N Circle Dr, Suite 5, Colorado Springs, CO 80909-2430 | 2007-02-23 |
| 1942342456 | Thomas J Lynch Dds PC | Dentist | 1675 Briargate Blvd, Ste C, Colorado Springs, CO 80920-3416 | 2007-02-12 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80921 |
Please comment or provide details below to improve the information on MCCOMBS PERIODONTICS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.