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BROADMOOR PDC PLLC
NPI 1679341903
Dentist - General Practice in Colorado Springs, CO

Active since December 15, 2023
2965 BROADMOOR VALLEY RD, COLORADO SPRINGS, CO 80906(719) 632-7636 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadmoor Pdc Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADMOOR PDC PLLC (NPI 1679341903) is a healthcare organization registered as a general practice in Colorado Springs, Colorado and active in the NPI registry since December 2023. The organization lists Mark Christensen, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1679341903
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROADMOOR PDC PLLC
Location Address2965 BROADMOOR VALLEY RDColorado Springs, CO 80906-4407
Mailing AddressPo Box 970354Orem, UT 84097-0354 · (801) 305-3460 · Fax (801) 335-6551
Phone(719) 632-7636
Organization SubpartNo
Authorized OfficialMark ChristensenCredentialing Specialist · (801) 305-3460
Enumeration DateDecember 15, 2023
NPPES CertifiedDecember 15, 2023
✔ NPI 1679341903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
2965 BROADMOOR VALLEY RD, Colorado Springs, CO 80906
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GARY DWAYNE WEST MSW, LCSW, BCD
Social Worker (Clinical)
2965 BROADMOOR VALLEY RD, STE B
COLORADO SPRINGS, CO 80906
El Paso County (719) 576-6617
DR. MICHAEL MARVIN GORSKY D.D.S.
Dentist (General Practice)
2965 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO 80906
El Paso County (719) 632-7636
BROADMOOR VALLEY DENTAL PLLC
Dentist (General Practice)
2965 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO 80906
El Paso County (719) 632-7636
BROADMOOR VALLEY DENTAL SERVICES, P.C.
Dentist (General Practice)
2965 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO 80906
El Paso County (719) 632-7636
DR. SPENCER CARTER DMD
Dentist
2965 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO 80906
El Paso County (719) 632-7636
BROADMOOR VALLEY DENTAL CARE, PC
Dentist
2965 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO 80906
El Paso County (719) 632-7636
OLIVER SPAETH DDS
Dentist
2965 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO 80906
El Paso County (719) 632-7636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadmoor Pdc PLLC's NPI number?

The NPI number for Broadmoor Pdc PLLC is 1679341903. It was assigned to this organization in the NPPES registry on December 15, 2023.

Where is Broadmoor Pdc PLLC located?

Broadmoor Pdc PLLC is located at 2965 Broadmoor Valley Rd, Colorado Springs, CO 80906. The listed phone number is (719) 632-7636.

What is Broadmoor Pdc PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Broadmoor Pdc PLLC accept?

Health plans from UnitedHealthcare list Broadmoor Pdc PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Broadmoor Pdc PLLC was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.