ACADEMY KIDS DENTAL AND VISION
NPI 1558765339
Dentist - General Practice in Colorado Springs, CO

Active since October 22, 2014
883 N ACADEMY BLVD, COLORADO SPRINGS, CO 80909(719) 442-0071(719) 473-5303 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 18, 2020, Oct 22, 2019, Mar 29, 2018 (3 updates tracked since 2018).

  • Organization
  • Dentist
  • General Practice

About ACADEMY KIDS DENTAL AND VISION

This page provides the complete NPI Profile along with additional information for Academy Kids Dental And Vision, a provider established in Colorado Springs, Colorado operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1558765339 assigned on October 2014. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Academy Kids Dental And Vision. The authorized official of this NPI record is Shaun Urbanozo (Credentialing Manager)

NPI
1558765339 Verify this NPI
Provider Legal Name
HERO DENTAL OF SPRINGS PC
Other Organization Name
ACADEMY KIDS DENTAL AND VISION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
883 N ACADEMY BLVD COLORADO SPRINGS, CO 80909
Location Phone
(719) 442-0071
Location Fax
(719) 473-5303
Mailing Address
2221 E BIJOU ST STE 100 COLORADO SPRINGS, CO 80909
Mailing Phone
(719) 955-8896
Mailing Fax
(719) 955-3470
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-22-2014
Last Update Date
11-18-2020
Code Navigator

A dentist like Academy Kids Dental And Vision is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223G0001XDental Providers

Dentist
General Practice

(CO)

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHAUN URBANOZO

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(719) 323-2362

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
45275025MEDICAID (05)CO 

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Dentist (General Practice)
883 N ACADEMY BLVD
COLORADO SPRINGS, CO 80909
Optometrist
883 N ACADEMY BLVD
COLORADO SPRINGS, CO 80909
Dentist
883 N ACADEMY BLVD
COLORADO SPRINGS, CO 80909
Optometrist
883 N ACADEMY BLVD
COLORADO SPRINGS, CO 80909
Dentist (General Practice)
883 N ACADEMY BLVD
COLORADO SPRINGS, CO 80909
Optometrist
883 N ACADEMY BLVD
COLORADO SPRINGS, CO 80909
Optometrist (Pediatrics)
883 N ACADEMY BLVD
COLORADO SPRINGS, CO 80909
Optometrist (Pediatrics)
883 N ACADEMY BLVD
COLORADO SPRINGS, CO 80909
Dentist (General Practice)
883 N ACADEMY BLVD
COLORADO SPRINGS, CO 80909

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558765339, enumerated as an "organization" on October 22, 2014.

The provider is located at 883 N ACADEMY BLVD COLORADO SPRINGS, CO 80909 and the phone number is (719) 442-0071.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.