OrganizationActive
Broadmoor Lake Dental
NPI 1801286919 · Dentist · Colorado Springs, CO
Broadmoor Lake Dental is a Dentist organization in Colorado Springs, CO (NPI 1801286919).
Provider details
- NPI number
- 1801286919
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Marc Van Ness, Owner(719) 375-5201
- License
- 104909 (CO)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
155 Lake Ave Ste 201
Colorado Springs, CO 80906-3717
Phone: (719) 375-5201
Fax: (844) 656-9696
Street-level locationGet directions
Mailing address
155 Lake Ave Ste 201
Colorado Springs, CO 80906-3717
Registry dates
- Enumerated
- 2015-01-27
- Last updated
- 2021-07-21
- Certified
- 2021-06-30
Frequently asked questions
- What is Broadmoor Lake Dental's NPI number?
- Broadmoor Lake Dental's National Provider Identifier (NPI) is 1801286919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadmoor Lake Dental?
- Broadmoor Lake Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Broadmoor Lake Dental located?
- Broadmoor Lake Dental's practice location on file with NPPES is 155 Lake Ave Ste 201, Colorado Springs, CO 80906-3717.
- What is Broadmoor Lake Dental's phone number?
- The practice phone number listed in the NPPES registry for Broadmoor Lake Dental is (719) 375-5201.
- Who is the authorized official for Broadmoor Lake Dental?
- The authorized official listed on Broadmoor Lake Dental's NPPES record is Marc Van Ness, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadmoor Lake Dental's NPI active?
- Yes — Broadmoor Lake Dental's NPI (1801286919) is active in the NPPES registry as of the last update on 2021-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.