DR. MARMAR MODARRESSI (NPI# 1699973636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699973636 |
| Entity Type | Individual |
| Full Name | DR. MARMAR MODARRESSI |
| Credential | DDS |
| Practice Address |
1050 S 8th St Colorado Springs CO 80906-1307 |
| Practice Telephone | 7196338455 |
| Mailing Telephone | 7196338455 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
9436 | CO | Dental Providers |
| Street Address |
1050 S 8TH ST |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635011 | Stephen J Colm | Dentist | 1050 S 8th St, Colorado Springs, CO 80906-1307 | 2005-08-02 |
| 1487176376 | Andrea Faye Montano | Dentist | 1050 S 8th St, Colorado Springs, CO 80905-7307 | 2017-07-12 |
| 1750696480 | William R. Hilton | Dentist | 1050 S 8th St, Colorado Springs, CO 80905-7307 | 2010-08-18 |
| 1811018211 | Perfect Teeth - South 8th Street P.C. | Dentist | 1050 S 8th St, Colorado Springs, CO 80906-1307 | 2007-04-03 |
| 1952350118 | Jason Andrew Messingham | Dentist | 1050 S 8th St, Colorado Springs, CO 80906-1307 | 2006-05-08 |
| 1053302075 | Tony Leroy Peterson | Dentist | 1050 S 8th St, Colorado Springs, CO 80905-7307 | 2005-10-31 |
| 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 | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053727024 | Mccombs Periodontics LLC | Dentist | 13335 Voyager Pkwy, Suite 130, Colorado Springs, CO 80921-7657 | 2014-07-10 |
| 1306869508 | James E. Orban | Dentist | 12245 Howells Rd, Colorado Springs, CO 80908-3700 | 2006-07-26 |
| 1538152806 | Thomas James Lynch | Dentist | 1675 Briargate Blvd, Ste C, Colorado Springs, CO 80920-3452 | 2005-08-23 |
| 1356554828 | James Robert Norris | Dentist | 1975 Research Pkwy, Ste 305, Colorado Springs, CO 80920-1025 | 2007-05-08 |
| 1558581298 | Karl Lackler | Dentist | 685 Citadel Dr E, Suite 200, Colorado Springs, CO 80909-5314 | 2007-04-26 |
| 1619196342 | Geoffrey Haradon | Dentist | 685 Citadel Dr E, Suite 200, Colorado Springs, CO 80909-5314 | 2007-04-24 |
| 1205052842 | Rocky Mountain Periodontal Specialists | Dentist | 685 Citadel Dr E, Suite 200, Colorado Springs, CO 80909-5314 | 2007-04-18 |
| 1407070642 | Brian Douglas Fitzpatrick | Dentist | 320 E Fontanero St, Colorado Springs, CO 80907-7529 | 2007-04-12 |
| 1790810299 | Dan I Degeare | Dentist | 1819 N Circle Dr, Suite 5, Colorado Springs, CO 80909-2430 | 2007-02-23 |
| 1942342456 | Thomas J Lynch Dds PC | Dentist | 1675 Briargate Blvd, Ste C, Colorado Springs, CO 80920-3416 | 2007-02-12 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
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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.