SOCO SMILES NORTH LLC (NPI# 1417587858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417587858 |
Entity Type | Organization |
Organization Name | SOCO SMILES NORTH LLC |
Practice Address |
8540 Scarborough Dr Ste 250 Colorado Springs CO 80920-7502 |
Mailing Address |
4625 Alpglen Ct Colorado Springs CO 80906-8213 |
Practice Telephone | 7194879303 |
Mailing Telephone | 7193312504 |
Enumeration Date | 2020-01-24 |
Last Update Date | 2020-01-24 |
Authorized Official Name | MICHAEL KOFFORD (OWNER) |
Authorized Official Telephone | 7193312504 |
Authorized Official Credential | DMD, MSD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
SoCO Smiles Orthodontics | Doing Business As Name - Organization |
Street Address |
8540 SCARBOROUGH DR STE 250 |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80920-7502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609233345 | Andrew Horne, Dds, Pllc | Dentist | 8540 Scarborough Dr Ste 250, Colorado Springs, CO 80920-7502 | 2016-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
Find all providers in zip 80920 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881294387 | Scott Holm Dmd Pllc | Clinic/Center | 685 Citadel Dr E Ste 200b, Colorado Springs, CO 80909-5315 | 2020-10-26 |
1568075489 | Open and Affordable Dental Cs North Pllc | Clinic/Center | 6375 Lehman Dr Ste 200, Colorado Springs, CO 80918-1427 | 2020-08-29 |
1093349706 | Cantua Dds, Pllc Dba Dental Nook | Clinic/Center | 13492 Bass Pro Dr Ste 110, Colorado Springs, CO 80921-3852 | 2020-03-03 |
1932753001 | Lucas Castillo PC | Clinic/Center | 3113 W Colorado Ave, Colorado Springs, CO 80904-2040 | 2019-07-28 |
1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
1124517826 | Kazemi Dental Pllc | Clinic/Center | 5010 El Camino Dr Ste A, Colorado Springs, CO 80918-2130 | 2018-05-08 |
1013410323 | Dental Holdings, P.C., Dba Mountain Shadows Family Dentistry | Clinic/Center | 1045 Garden of The Gods Rd Ste N, Colorado Springs, CO 80907-3436 | 2018-03-13 |
1689052961 | Lovell Ortrhodontics, PC | Clinic/Center | 5426 N Academy Blvd Ste 105, Colorado Springs, CO 80918-3686 | 2015-05-07 |
1144661273 | Michael W Beasley Dds PC | Clinic/Center | 6475 Wall St Ste 202, Colorado Springs, CO 80918-8341 | 2013-07-17 |
1497787535 | Peak Vista Community Health Centers | Clinic/Center | 2828 International Circle, Suite 100, Colorado Springs, CO 80910 | 2006-07-07 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80920 |
Please comment or provide details below to improve the information on SOCO SMILES NORTH 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.