Active NPI
Wojciech Bobak, D.M.D., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lakewood, CO
National Provider Identifier
1013011576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 7190
- Practice address
- 1840 S Wadsworth Blvd
Lakewood, CO 80232-6831 - Phone
- (303) 988-0844
- Fax
- (303) 988-7153
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 7190 | CO | Primary |
Addresses
Primary practice location
1840 S Wadsworth Blvd
Lakewood, CO 80232-6831
Mailing address
1840 S. Wadsworth Blvd
Lakewood, CO 80232
Phone (303) 988-0844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29651751 | Medicaid | CO |
Other names 1
- Voytek Bobak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7190 | CO | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wojciech Bobak DMD Ms PC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lakewood, CO
- NPI 1811439912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1013011576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 S. WADSWORTH BLVD",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "80232",
"telephone_number": "303-988-0844",
"fax_number": "303-988-7153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 S WADSWORTH BLVD",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802326831",
"telephone_number": "303-988-0844",
"fax_number": "303-988-7153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBAK",
"first_name": "WOJCIECH",
"name_prefix": "Dr.",
"credential": "D.M.D., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CO",
"license": "7190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "29651751",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VOYTEK",
"last_name": "BOBAK",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.