OrganizationActive
Broadmoor Pdc PLLC
NPI 1679341903 · General Practice Dentistry · Colorado Springs, CO
Broadmoor Pdc PLLC is a General Practice Dentistry organization in Colorado Springs, CO (NPI 1679341903).
Provider details
- NPI number
- 1679341903
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mark Christensen, Credentialing Specialist(801) 305-3460
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2965 Broadmoor Valley Rd
Colorado Springs, CO 80906-4407
Phone: (719) 632-7636
Street-level locationGet directions
Mailing address
Po Box 970354
Orem, UT 84097-0354
Registry dates
- Enumerated
- 2023-12-15
- Last updated
- 2023-12-15
- Certified
- 2023-12-15
Frequently asked questions
- What is Broadmoor Pdc PLLC's NPI number?
- Broadmoor Pdc PLLC's National Provider Identifier (NPI) is 1679341903, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadmoor Pdc PLLC?
- Broadmoor Pdc PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Broadmoor Pdc PLLC located?
- Broadmoor Pdc PLLC's practice location on file with NPPES is 2965 Broadmoor Valley Rd, Colorado Springs, CO 80906-4407.
- What is Broadmoor Pdc PLLC's phone number?
- The practice phone number listed in the NPPES registry for Broadmoor Pdc PLLC is (719) 632-7636.
- Who is the authorized official for Broadmoor Pdc PLLC?
- The authorized official listed on Broadmoor Pdc PLLC's NPPES record is Mark Christensen, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadmoor Pdc PLLC's NPI active?
- Yes — Broadmoor Pdc PLLC's NPI (1679341903) is active in the NPPES registry as of the last update on 2023-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.