DR. EDWARD J MCCULLOCH (NPI# 1427058445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427058445 |
| Entity Type | Individual |
| Full Name | DR. EDWARD J MCCULLOCH |
| Credential | DDS |
| Practice Address |
3585 Van Teylingen Dr Ste F Colorado Springs CO 80917-4875 |
| Practice Telephone | 7195977111 |
| Practice Fax Number | 7195720177 |
| Mailing Telephone | 7195977111 |
| Mailing Fax Number | 7195720177 |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
104717 | CO | Dental Providers |
| Street Address |
3585 VAN TEYLINGEN DR STE F |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-4875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047747 | Dee Ann Elliott | Chiropractor | 3585 Van Teylingen Dr, #d, Colorado Springs, CO 80917 | 2005-07-18 |
| 1790129203 | Jill M Huber | Specialist | 3585 Van Teylingen Dr, Suite H, Colorado Springs, CO 80917-4875 | 2013-04-26 |
| 1407125818 | Lisa D. Stinson, Ph.d., LLC | Community/Behavioral Health | 3585 Van Teylingen Dr, Suite A, Colorado Springs, CO 80917-4875 | 2011-12-14 |
| 1942594239 | Elliott Chiropractic Center L.L.C. | Chiropractor | 3585 Van Teylingen Dr, Suite D, Colorado Springs, CO 80917-4875 | 2011-06-03 |
| 1730215500 | Optom-eyes, Inc. | Optometrist | 3585 Van Teylingen Dr, Colorado Springs, CO 80917-4875 | 2007-02-26 |
| 1790756476 | John Michael Rabins | Optometrist | 3585 Van Teylingen Dr, Optom Eyes, Colorado Springs, CO 80917-4875 | 2006-01-30 |
| 1821090531 | Laura M Reich | Pediatrics | 3585 Van Teylingen Dr, Suite E, Colorado Springs, CO 80917-4875 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407855117 | Melissa Ann Musolf | Dentist | 6140 Tutt Blvd, Suite 150, Colorado Springs, CO 80922-3575 | 2005-07-15 |
| 1790137131 | Taylor Kennedy | Dentist | 2828 International Cir, Suite 100, Colorado Springs, CO 80910-3127 | 2016-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891281747 | Community Health Services, Inc. | Dentist | 0405 Castle Creek Rd., Suite 6, Aspen, CO 81611 | 2018-07-03 |
| 1215113402 | Total Oral Prevention Strategies | Dentist | 3216 High St, Denver, CO 80205-4062 | 2008-01-17 |
| 1386828929 | Hanh H Phi | Dentist | 199 Quebec St Unit B, Denver, CO 80220-6186 | 2007-12-18 |
| 1932175346 | Community Dental Clinic, Inc. | Dentist | 87 Merchant Dr, Montrose, CO 81401-3015 | 2006-02-24 |
| 1558360073 | Casey Lee Kochevar | Dentist | 1446 Hover Street, Suite #100, Longmont, CO 80501 | 2005-07-18 |
| 1548269269 | James B. Moses | Dentist | 6000 E Evans Ave, Bld 3 Suite 200, Denver, CO 80222-5406 | 2005-07-14 |
| 1326046137 | Kenneth S Lahr | Dentist | 19423 N Turkey Creek Rd, Morrison, CO 80465-8902 | 2005-07-14 |
| 1659378701 | Dennis James Lewis | Dentist | 877 South Boulder Road, Louisville, CO 80027-1345 | 2005-07-05 |
| 1265067425 | Mobile Outreach Alliance | Dentist | 8422 W 78th Cir, Arvada, CO 80005-4407 | 2020-03-09 |
| 1508428434 | Margaret Chavez | Dentist | 421 Walnut Street, La Jara, CO 81140 | 2019-07-01 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
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| 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.