DR. ERIC J. ATHA (NPI# 1649310418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649310418 |
| Entity Type | Individual |
| Full Name | DR. ERIC J. ATHA |
| Credential | D.D.S.,M.S. |
| Practice Address |
15 Widefield Blvd Colorado Springs CO 80911-2126 |
| Practice Telephone | 7193907926 |
| Practice Fax Number | 7193904105 |
| Mailing Telephone | 7193907926 |
| Mailing Fax Number | 7193904105 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
104103 | CO | Dental Providers |
| Street Address |
15 WIDEFIELD BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80911-2126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699806067 | Kimberly De Batterson | Dentist | 15 Widefield Blvd, Colorado Springs, CO 80911-2126 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740759208 | Jeremy Jorge Madrid Jr. | Specialist/Technologist | 7465 Dove Ceek Circle, Colorado Springs, CO 80911 | 2018-11-14 |
| 1033403472 | Ruth Schroeter Tate | Pharmacist | 6925 Fountain Mesa Rd, Fountain, CO 80911 | 2011-06-02 |
| 1053654319 | Center Pointe Family Medicine LLC | Family Medicine | 47 Widefield Blvd, Colorado Springs, CO 80911 | 2013-04-04 |
| 1194034314 | Ammon Jacobson | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911 | 2010-10-05 |
| 1801035639 | Catherine Jane Bottorff | Physical Therapist | 328 Main Street, Colorado Springs, CO 80911 | 2009-02-18 |
| 1649248014 | Department of The Army Usa Meddac/evans Army Community Hospital | Clinic/Center | Usa Meddac/evans Army Community Hospital, Ob/gyn Clinic 1650 Cochrane Cir, Ft Carson, CO 80911 | 2006-03-10 |
| 1841568169 | Evans Army Community Hospital | Military Hospital | 2400 Cody Dr, Colorado Springs, CO 80911-1018 | 2011-12-01 |
| 1114069812 | John C Bahrenburg | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911-1100 | 2007-02-12 |
| 1174180103 | Peak Performance Ltd | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911-1100 | 2019-05-24 |
| 1871636951 | Holly M Leslie | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911-1100 | 2007-02-15 |
| Find all providers in zip 80911 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285260927 | Johnson Orthodontics | Dentist | 5850 Tutt Center Pt Ste 100, Colorado Springs, CO 80922-3520 | 2020-03-13 |
| 1003441049 | Johnson Orthodontics | Dentist | 15435 Gleneagle Dr Ste 210, Colorado Springs, CO 80921-2542 | 2020-03-10 |
| 1790324770 | Pine Top Orthodontics PC | Dentist | 9475 Briar Village Pt Ste 315, Colorado Springs, CO 80920-7905 | 2019-12-23 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1497261648 | Orthodontic Experts of Colorado, Pllc | Dentist | 1685 Briargate Blvd Ste B, Colorado Springs, CO 80920-3417 | 2017-12-26 |
| 1306392121 | Chris Schultz, Dds, Pllc | Dentist | 9240 Explorer Dr Ste 115, Colorado Springs, CO 80920-5004 | 2016-08-31 |
| 1689036220 | Stephen W. Andrews Dmd, LLC | Dentist | 1750 Telstar Drive, Suite 100, Colorado Springs, CO 80920 | 2016-03-23 |
| 1609233345 | Andrew Horne, Dds, Pllc | Dentist | 8540 Scarborough Dr Ste 250, Colorado Springs, CO 80920-7502 | 2016-01-26 |
| 1598178014 | Johnson Orthodontics | Dentist | 5850 Tutt Center Pt, Colorado Springs, CO 80922-3517 | 2014-06-03 |
| 1790005155 | Daniel G Snow | Dentist | 7560 Rangewood Dr Ste 100, Colorado Springs, CO 80920-2100 | 2010-06-08 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80911 |
Please comment or provide details below to improve the information on DR. ERIC J. ATHA.
| 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.