DR. KENNETH J OTTERSTEDT (NPI# 1699821181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699821181 |
| Entity Type | Individual |
| Full Name | DR. KENNETH J OTTERSTEDT |
| Credential | DDS |
| Practice Address |
9480 Briar Village Pt Suite 301 Colorado Springs CO 80920-7922 |
| Mailing Address |
1294 Oakmont Dr Colorado Springs CO 80921-3762 |
| Practice Telephone | 7195220123 |
| Mailing Telephone | 8586921661 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2016-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DEN.00202290 | CO | Dental Providers |
| Street Address |
9480 BRIAR VILLAGE PT SUITE 301 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-7922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043293350 | Melissa Kay Ewer | Emergency Medicine | 9480 Briar Village Pt, Suite 200, Colorado Springs, CO 80920-7922 | 2005-11-22 |
| 1194063412 | Robyn Blackstone Silver | Physical Therapist | 9480 Briar Village Pt, Colorado Springs, CO 80920-7922 | 2013-01-21 |
| 1144582750 | Arbor Dermatology | Dermatology | 9480 Briar Village Pt, Suite 100, Colorado Springs, CO 80920-7922 | 2012-06-10 |
| 1285822114 | Aspen Creek Medical Associates, PC | Family Medicine | 9480 Briar Village Pt, Ste. 200, Colorado Springs, CO 80920-7900 | 2007-10-04 |
| 1396957767 | Cameron W Macdonald | Physical Therapist | 9480 Briar Village Pt, Suite #201, Colorado Springs, CO 80920-7922 | 2007-05-05 |
| 1326122532 | Martin H Gossenauer | Dentist | 9480 Briar Village Pt, Suite 301, Colorado Springs, CO 80920-7922 | 2006-10-24 |
| 1619986833 | Mark Elden Bodman | Family Medicine | 9480 Briar Village Pt, Suite 200, Colorado Springs, CO 80920-7922 | 2006-08-05 |
| 1922041789 | Brenda Vanderwel | Physician Assistant | 9480 Briar Village Pt, Suite 200, Colorado Springs, CO 80920-7922 | 2006-06-13 |
| 1316987308 | David Zbylski | Family Medicine | 9480 Briar Village Pt, Suite 200, Colorado Springs, CO 80920-7922 | 2006-06-07 |
| 1528014958 | Jeffrey Kent | Family Medicine | 9480 Briar Village Pt, Suite 200, Colorado Springs, CO 80920-7922 | 2006-05-26 |
| Find all providers in the same location | ||||
| 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 | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181103 | Stettler Kr Broadmoor Pllc | Dentist | 4515 Broadmoor Bluffs Dr, Colorado Springs, CO 80906-8647 | 2020-07-09 |
| 1215432141 | Dan Duy Hoang | Dentist | 660 Southpointe Ct Ste 100, Colorado Springs, CO 80906-3806 | 2018-03-23 |
| 1275844607 | Corban R. Stettler | Dentist | 5430 E Woodmen Rd, Colorado Springs, CO 80920-8067 | 2010-06-30 |
| 1578725743 | Cheyenne Mountain Children's Dentistry PC | Dentist | 6514 S Academy Blvd, Colorado Springs, CO 80906-8614 | 2008-06-30 |
| 1346467206 | Joshua Erickson | Dentist | 8580 Scarborough Dr Ste 220, Colorado Springs, CO 80920-7583 | 2007-04-19 |
| 1154488575 | Jeffrey Allen Kahl | Dentist | 9480 Briar Village Pointe Suite 320, Colorado Springs, CO 80920 | 2007-01-03 |
| 1063598720 | Michelle Lee Haman | Dentist | 6725 Rangewood Dr, Colorado Springs, CO 80918-7300 | 2006-10-27 |
| 1245331552 | Clinton T. Callahan | Dentist | 13335 Voyager Pkwy Ste 100, Colorado Springs, CO 80921 | 2006-09-26 |
| 1427154418 | Michael J Purcell | Dentist | 12225 Voyager Pkwy Ste 6, Colorado Springs, CO 80921-3754 | 2006-09-16 |
| 1669464632 | Edward A Souza | Dentist | 3466 Briargate Blvd, Colorado Springs, CO 80920-4168 | 2005-08-16 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
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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.