Active NPI
Alan Schafer, DMD MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cortez, CO
National Provider Identifier
1013028752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- COLO6144
- Practice address
- 101 S Maple St
Cortez, CO 81321-3562 - Phone
- (970) 565-3531
- Fax
- (970) 564-9989
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 | COLO6144 | CO | Primary |
Addresses
Primary practice location
101 S Maple St
Cortez, CO 81321-3562
Mailing address
101 S Maple St
Cortez, CO 81321-3562
Phone (970) 565-3531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31771238 | Medicaid | CO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COLO6144 | CO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013028752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S MAPLE ST",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813213562",
"telephone_number": "970-565-3531",
"fax_number": "970-564-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S MAPLE ST",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813213562",
"telephone_number": "970-565-3531",
"fax_number": "970-564-9989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFER",
"first_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DMD MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CO",
"license": "COLO6144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31771238",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cortez, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.