DR. KATHRYN MCCULLOUGH


Address: 8011 Meridian Park Dr, Peyton, CO 80831-8128
Phone: 7194941100

DR. KATHRYN MCCULLOUGH (NPI# 1184145104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184145104
Entity Type Individual
Full Name DR. KATHRYN MCCULLOUGH
Credential DDS
Practice Address 8011 Meridian Park Dr
Peyton
CO 80831-8128
Mailing Address 15 N Nevada Ave
Colorado Springs
CO 80903-1708
Practice Telephone 7194941100
Mailing Telephone (719) 323-2362
Enumeration Date 2017-06-29
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 00203273 CO Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO FALCON DENTAL 1982821054 01
CO 1184145104 05
CO CAQH 14036844 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2436 S Academy Blvd, Colorado Springs, CO 809162408 7193912336

Other Providers KATHRYN MCCULLOUGH

NPI Name Taxonomy Address Enumeration
1205452141 Kathryn Mccullough Nurse Practitioner 1253 S Flower Cir Apt A, Lakewood, CO 80232-2025 2020-06-16
1578014098 Kathryn Ellen Mccullough Counselor 825 Chalkstone Ave, Providence, RI 02908-4728 2016-10-19
1558542779 Kathryn M Mccullough Optometrist 3929 N Gloster St, Tupelo, MS 38804-0915 2007-11-15

Office Location

Street Address 8011 MERIDIAN PARK DR
City PEYTON
State CO
Zip Code 80831-8128

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578041109 Nkoyo Ntuen Licensed Practical Nurse 12215 Angelina Dr, Peyton, CO 80831 2018-08-06
1336639251 Just for Grins Vision LLC Optometrist 11874 Stapleton Drive, Falcon, CO 80831 2018-05-16
1053840413 Jacqueline Anne Lloyd Specialist/Technologist 12571 Scamper Road, Falcon, CO 80831 2017-06-08
1619224987 Peak Vista Community Health Centers Clinic/Center 12050 Falcon Highway, Peyton, CO 80831 2012-08-06
1275843997 Kathryn P Pershing Physical Therapist 7622 Mclaughlin Road, Falcon, CO 80831 2010-10-15
1366696080 Leticia Venegas Physical Therapist 21 Mdos/sgoy 110 W Ent Av, Attn: 21 Mdos/sgoy, Peterson Afb, CO 80831 2008-11-07
1245459643 Scott G Miller Chiropractor 14755 F East Hwy 24, Falcon, CO 80831 2007-04-24
1144390477 Falcon Family Eye Care PC Optometrist 7685 Mclaughlin Rd, Suite 130, Falcon, CO 80831 2006-11-08
1558459305 Kimberly Kay Breckon Optometrist 7642 Mclaughlin Rd, Falcon, CO 80831 2006-10-10
1174587521 Phillip Graden Kleinman Registered Nurse 8607 Bohleen Rd, Peyton, CO 80831 2006-04-13
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982821054 Falcon Dental Care PC Dentist 7673 Mclaughlin Rd, Peyton, CO 80831-4727 2007-04-19
1851302210 Jay B Johnson Dentist 7520 Bierstadt Hts, Suite 125, Peyton, CO 80831-6174 2006-08-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659979375 Kyle Richardson Dentist 5865 Lehman Dr Ste 200, Colorado Springs, CO 80918-3412 2020-10-14
1942807466 Kristie Han Dentist 3494 S Grape St, Denver, CO 80222-7528 2020-10-07
1578160545 Colorado Sleep Wellness LLC Dentist 161 N Park Sq, Fruita, CO 81521-2530 2020-10-02
1578174140 Amanda Sanae Mei Lin Kobayashi Dentist 250 E Colfax Ave, Bennett, CO 80102-8825 2020-08-16
1316558976 Nicholas Propp Dentist 7596 E 28th Ave Unit 3, Denver, CO 80238-2304 2020-08-16
1700495991 Chien-hua Lee Dentist 5127 E Bridge St Ste A, Brighton, CO 80601-8318 2020-07-23
1801404256 William Jacob Brown Dentist 335 W South Boulder Rd Ste 4, Louisville, CO 80027-1192 2020-07-21
1003433640 Denise Marie Cacho Dentist Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 2020-06-30
1942827654 Jarrett Romine Dentist 7859 6th St Ste 150, Wellington, CO 80549 2020-06-29
1538786496 Jordyn Ann Reiakvam Dentist 7400 E Crestline Cir Ste 240, Greenwood Village, CO 80111-3655 2020-06-26
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Competitor

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City PEYTON
Zip Code 80831

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Dataset Information

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.

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