MR. NICOLAS ROGER PRUETT (NPI# 1215034939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215034939 |
| Entity Type | Individual |
| Full Name | MR. NICOLAS ROGER PRUETT |
| Credential | DD.S. |
| Practice Address |
1930 S. Nevada Ave Colorado Springs CO 80905-3407 |
| Practice Telephone | 7195765566 |
| Practice Fax Number | 7195761100 |
| Mailing Telephone | 7195765566 |
| Mailing Fax Number | 7195761100 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2010-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8913 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | UNITED CONCORDIA PROVIDER | 886687 | 01 |
| CO | BLUE CROSS VIRGINIA | 193616 | 01 |
| Street Address |
1930 S. NEVADA AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80905-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524137 | Julie Esther Ayaad | Nurse Practitioner | 1427 W Rio Grande, Colorado Springs, CO 80905 | 2019-12-04 |
| 1437676970 | Cara Boss | Physical Therapy Assistant | 1855 Presidential Hts, Apt 1023, Colorado Springs, CO 80905 | 2017-08-25 |
| 1720537509 | Rhianon Leigh Davis | Physical Therapy Assistant | 810 Arcturus Drive, Colorado Springs, CO 80905 | 2016-09-22 |
| 1861878639 | Melissa Bernstein-linan | Counselor | 1301 S 8th St Ste 200, Colorado Springs, CO 80905 | 2015-08-04 |
| 1376973669 | Kierstie Cameron | Counselor | 875 W. Moreno Ave, Colorado Springs, CO 80905 | 2013-11-22 |
| 1215294301 | Nancy J. Beach | Counselor | 1355 S 8th St Ste 206, Colorado Springs, CO 80905 | 2012-04-13 |
| 1699096107 | Hinds' Feet Adventures | Counselor | 1301 S. Eighth Street, Suite 115, Colorado Springs, CO 80905 | 2010-06-18 |
| 1396067310 | Pinnacle Family Medicine, Pllc | Family Medicine | 1040 S 8th Street, Suite 102, Colorado Springs, CO 80905 | 2010-02-17 |
| 1710154018 | Amy Lee Moore | Counselor | 875 W. Moreno, Colorado Springs, CO 80905 | 2008-05-15 |
| 1386786598 | Pia Hillevi Schalin | Family Medicine | 402 W Bijou, Emergicare Corporation, Colorado Springs, CO 80905 | 2007-02-13 |
| Find all providers in zip 80905 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979375 | Kyle Richardson | Dentist | 5865 Lehman Dr Ste 200, Colorado Springs, CO 80918-3412 | 2020-10-14 |
| 1740751460 | Audubon Dental Sleep Solutions LLC | Dentist | 2960 N Circle Dr Ste 105, Colorado Springs, CO 80909-1163 | 2018-12-06 |
| 1053898437 | Lorraine Julienne Labayen | Dentist | 7795 Dublin Blvd, Colorado Springs, CO 80923-7592 | 2018-07-27 |
| 1780178442 | Denise Ivonne Clare | Dentist | 4451 Venetucci Blvd Unit 160, Colorado Springs, CO 80906-4056 | 2018-06-17 |
| 1780185462 | Kenneth C. Pollary Dds Pllc | Dentist | 3204 N Academy Blvd Ste 210, Colorado Springs, CO 80917-5163 | 2018-02-27 |
| 1881119220 | Egbert and Stilson Dental Pllc | Dentist | 9235 N Union Blvd Ste 170, Colorado Springs, CO 80920-7833 | 2017-08-07 |
| 1942752837 | Robert Kemp Van Wagenen | Dentist | 5944 Huerfano Dr, Colorado Springs, CO 80923-3437 | 2016-10-26 |
| 1477005494 | Preferred Dental | Dentist | 5752 Palmer Park Blvd, Colorado Springs, CO 80915-1511 | 2016-10-25 |
| 1306396551 | Rota Advanced Dental Care | Dentist | 6210 Woodmen Park Vw, Colorado Springs, CO 80923-2616 | 2016-10-12 |
| 1891248506 | Nicholas Allan Wyatt | Dentist | 685 Citadel Dr E Ste 302, Colorado Springs, CO 80909-5316 | 2016-07-28 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80905 |
Please comment or provide details below to improve the information on MR. NICOLAS ROGER PRUETT.
| 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.