CHEYENNE MOUNTAIN ORAL SURGERY PC (NPI# 1689167280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689167280 |
| Entity Type | Organization |
| Organization Name | CHEYENNE MOUNTAIN ORAL SURGERY PC |
| Practice Address |
640 Southpointe Ct Ste 150 Colorado Springs CO 80906-3884 |
| Mailing Address |
4643 S Ulster St Ste 300 Denver CO 80237-3028 |
| Practice Telephone | 7206034800 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Authorized Official Name | DAYNE JENSEN (OWNER) |
| Authorized Official Telephone | 7206034800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
640 SOUTHPOINTE CT STE 150 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-3884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849866 | Oms Associates Colorado PC | Dentist | 1755 Telstar Dr Ste 210, Colorado Springs, CO 80920-1018 | 2020-10-26 |
| 1467964858 | David Andrew Benson, Dds, Pllc | Dentist | 6160 Tutt Blvd Ste 250, Colorado Springs, CO 80923-1500 | 2017-10-25 |
| 1568850725 | Steven F. Reck, Dds, PC | Dentist | 7310 Rangewood Dr, Suite 200, Colorado Springs, CO 80918-7701 | 2014-12-22 |
| 1942565197 | Pavol Porazik | Dentist | 7136 N Academy Blvd, Colorado Springs, CO 80920 | 2012-07-12 |
| 1982800264 | Dr. Robert C. Christiansen Dds PC | Dentist | 3100 N Academy Blvd Ste 213, Colorado Springs, CO 80917-5332 | 2007-06-25 |
| 1376663641 | Oral Surgery Associates of Colorado Springs, P.C. | Dentist | 5745 Erindale Dr Ste 100, Colorado Springs, CO 80918-8902 | 2007-03-30 |
| 1952447724 | Robert Malcolm Igo | Dentist | 1304 N Academy Boulevard, Suite 205, Colorado Springs, CO 80909-3318 | 2007-01-29 |
| 1952367096 | James David Vetter | Dentist | 1755 Telstar Dr, Suite 210, Colorado Springs, CO 80920-1016 | 2006-04-26 |
| 1366413361 | Harry Richard Cole Jr. | Dentist | 1755 Telstar Dr Ste 250, Colorado Springs, CO 80920-1016 | 2006-01-28 |
| 1982686994 | Steven Frank Reck | Dentist | 5426 N Academy Blvd, Colorado Springs, CO 80918-3687 | 2005-11-16 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
Please comment or provide details below to improve the information on CHEYENNE MOUNTAIN ORAL 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.