CASTLE ROCK ORAL AND MAXILLOFACIAL SURGERY, PC (NPI# 1508146630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508146630 |
| Entity Type | Organization |
| Organization Name | CASTLE ROCK ORAL AND MAXILLOFACIAL SURGERY, PC |
| Other Organization Name | CASTLE ROCK ORAL AND FACIAL SURGERY |
| Practice Address |
2352 Meadows Blvd 205 Castle Rock CO 80109-8406 |
| Practice Telephone | 3036637890 |
| Practice Fax Number | 8887659130 |
| Mailing Telephone | 3036637890 |
| Mailing Fax Number | 8887659130 |
| Enumeration Date | 2011-08-20 |
| Last Update Date | 2016-05-06 |
| Authorized Official Name | DR. KRISTOPHER LARKIN HART (PRESIDENT) |
| Authorized Official Telephone | 2544496581 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
10214 | CO | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
21512 | TX | Dental Providers |
| N | 204E00000X | Oral & Maxillofacial Surgery | 21512 | TX | Allopathic & Osteopathic Physicians |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 10214 | CO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Castle Rock Oral and Facial Surgery | Doing Business As Name - Organization |
| Street Address |
2352 MEADOWS BLVD 205 |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80109-8406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811960388 | Kristopher Larkin Hart | Dentist | 2352 Meadows Blvd, 205, Castle Rock, CO 80109-8406 | 2006-02-07 |
| 1356866735 | Maggie Brown | Physical Therapist | 2352 Meadows Blvd, Castle Rock, CO 80109-8406 | 2017-08-07 |
| 1003362187 | Surgone, PC | Surgery | 2352 Meadows Blvd, Suite 220, Castle Rock, CO 80109-8406 | 2016-08-29 |
| 1396191078 | Sonya L Hultman | Physical Therapist | 2352 Meadows Blvd, 155, Castle Rock, CO 80109-8406 | 2016-05-11 |
| 1477949170 | Dalew. Darby, Ph.d. Clinical and Health Psychology | Clinic/Center | 2352 Meadows Blvd, Suite 300, Castle Rock, CO 80109 | 2015-04-09 |
| 1285027573 | Performance Orthopedics | Orthopaedic Surgery | 2352 Meadows Blvd, Suite 300, Castle Rock, CO 80109-8406 | 2015-03-10 |
| 1477951911 | South Denver Ob/gyn, PC | Obstetrics & Gynecology | 2352 Meadows Blvd, Suite 255, Castle Rock, CO 80109-8406 | 2014-12-16 |
| 1376955245 | David Archibald Md PC | Otolaryngology | 2352 Meadows Blvd, Suite 290, Castle Rock, CO 80109-8406 | 2014-05-27 |
| 1679983407 | Amanda Bolton | Nurse Practitioner | 2352 Meadows Blvd, Ste 300, Castle Rock, CO 80109-8419 | 2014-05-01 |
| 1134545395 | Pediatrics 5280, PC | Pediatrics | 2352 Meadows Blvd, Suite 150, Castle Rock, CO 80109 | 2014-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831686674 | Castle Rock Surgicenter, LLC | Clinic/Center | 4700 Castleton Way Ste 101, Castle Rock, CO 80109 | 2018-04-17 |
| 1467957746 | Elevation Vision Od Pllc | Optometrist | 658 Genoa Way, Unit B, Castle Rock, CO 80109 | 2018-03-28 |
| 1700229242 | Clare Ingram French | Surgery | 2352 Meadows Blvd Ste 220, Castle Rock, CO 80109 | 2013-04-15 |
| 1467790956 | Celeste Clippinger | Physical Therapist | 3470 Dacoro Lane, Suite 105, Castle Rock, CO 80109 | 2013-01-18 |
| 1003175696 | Candice Jessica Geist | Obstetrics & Gynecology | 2352 Meadows Blvd Ste 255, Castle Rock, CO 80109 | 2012-05-16 |
| 1760756704 | Hilary Sauder | Occupational Therapist | 3427 Dinosaur St, Castle Rock, CO 80109 | 2012-03-07 |
| 1043503568 | James Daniel Jensen | Dermatology | 4350 Limelight Ave, Suite 205, Castle Rock, CO 80109 | 2011-05-17 |
| 1174712152 | Aaron Pierce Goodman | Dentist | 3993 Limelight Ave., E, Castle Rock, CO 80109 | 2007-10-16 |
| 1851437925 | Pamela Rose Kinder | Psychiatry & Neurology | 4350 Limelight Ave., Suite #250, Castle Rock, CO 80109 | 2007-01-29 |
| 1942228457 | Paul A Stone | Podiatrist | 2352 Meadows Blvd Ste 270, Castle Rock, CO 80109 | 2006-07-17 |
| Find all providers in zip 80109 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271126 | Saddle Rock Oral and Facial Reconstructive Surgery Pllc | Oral & Maxillofacial Surgery | 7380 S. Gartrell Rd, Aurora, CO 80016 | 2020-09-28 |
| 1689916611 | Ben Adam Charles Bailey | Oral & Maxillofacial Surgery | 3691 Parker Blvd Ste 200, Pueblo, CO 81008-2278 | 2013-03-16 |
| 1952677973 | Colorado Surgical Arts | Oral & Maxillofacial Surgery | 2900 S. Peoria Street, Unit D, Aurora, CO 80014 | 2012-03-23 |
| 1275831208 | Kamran Dastoury | Oral & Maxillofacial Surgery | 2290 Kipling St Unit 2, Lakewood, CO 80215-1546 | 2011-02-28 |
| 1215190145 | Michael S Kunkel | Oral & Maxillofacial Surgery | 3475 Briargate Blvd, Suite 102, Colorado Springs, CO 80920 | 2008-07-10 |
| 1740494467 | Norman Philip Payea II | Oral & Maxillofacial Surgery | 8805 West Fourteenth Avenue, Suite 316 Lakewood Medical Center, Lakewood, CO 80215-4848 | 2007-05-10 |
| 1902931835 | Steven F. Reck, Dds, PC | Oral & Maxillofacial Surgery | 1201 Paseo Del Norte, Pueblo, CO 81008-2611 | 2007-02-22 |
| 1548342629 | Barry S Keogh | Oral & Maxillofacial Surgery | 14991 E Hampden Ave #260, Aurora, CO 80014 | 2006-10-19 |
| 1033204094 | Michael Derrick Moody | Oral & Maxillofacial Surgery | 9990 W 26th Ave, Suite 100, Lakewood, CO 80215-1581 | 2006-10-04 |
| 1629085196 | Glenn Eric Herrmann | Oral & Maxillofacial Surgery | 130 Old Laramie Trl E Bldg 4, Lafayette, CO 80026-7014 | 2006-08-01 |
| Find all providers with the same taxonomy | ||||
| City | CASTLE ROCK |
| Zip Code | 80109 |
Please comment or provide details below to improve the information on CASTLE ROCK ORAL AND MAXILLOFACIAL SURGERY, PC.
| 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.