STETTLER KR BROADMOOR PLLC


Address: 4515 Broadmoor Bluffs Dr, Colorado Springs, CO 80906-8647
Phone: 7194244668

STETTLER KR BROADMOOR PLLC (NPI# 1578181103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578181103
Entity Type Organization
Organization Name STETTLER KR BROADMOOR PLLC
Practice Address 4515 Broadmoor Bluffs Dr
Colorado Springs
CO 80906-8647
Practice Telephone 7194244668
Practice Fax Number 7194244667
Mailing Telephone 7194244668
Mailing Fax Number 7194244667
Enumeration Date 2020-07-09
Last Update Date 2020-07-09
Authorized Official Name CORBAN STETTLER (OWNER/DDS)
Authorized Official Telephone 7193041305
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers
N 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
Dental Providers
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Kids Rock Pediatric Dentistry and Orthodontics Doing Business As Name - Organization

Office Location

Street Address 4515 BROADMOOR BLUFFS DR
City COLORADO SPRINGS
State CO
Zip Code 80906-8647

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881294387 Scott Holm Dmd Pllc Clinic/Center 685 Citadel Dr E Ste 200b, Colorado Springs, CO 80909-5315 2020-10-26
1568075489 Open and Affordable Dental Cs North Pllc Clinic/Center 6375 Lehman Dr Ste 200, Colorado Springs, CO 80918-1427 2020-08-29
1093349706 Cantua Dds, Pllc Dba Dental Nook Clinic/Center 13492 Bass Pro Dr Ste 110, Colorado Springs, CO 80921-3852 2020-03-03
1932753001 Lucas Castillo PC Clinic/Center 3113 W Colorado Ave, Colorado Springs, CO 80904-2040 2019-07-28
1194296491 Kramer Dentistry Inc Clinic/Center 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 2018-12-12
1124517826 Kazemi Dental Pllc Clinic/Center 5010 El Camino Dr Ste A, Colorado Springs, CO 80918-2130 2018-05-08
1013410323 Dental Holdings, P.C., Dba Mountain Shadows Family Dentistry Clinic/Center 1045 Garden of The Gods Rd Ste N, Colorado Springs, CO 80907-3436 2018-03-13
1689052961 Lovell Ortrhodontics, PC Clinic/Center 5426 N Academy Blvd Ste 105, Colorado Springs, CO 80918-3686 2015-05-07
1144661273 Michael W Beasley Dds PC Clinic/Center 6475 Wall St Ste 202, Colorado Springs, CO 80918-8341 2013-07-17
1497787535 Peak Vista Community Health Centers Clinic/Center 2828 International Circle, Suite 100, Colorado Springs, CO 80910 2006-07-07
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Competitor

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City COLORADO SPRINGS
Zip Code 80906

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Dataset Information

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.

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