Active NPI
Marwan Al-Barrak, DDS
- Endodontics
- Denver, CO
National Provider Identifier
1013620749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DEN.00205455
- Practice address
- 2373 Central Park Blvd Unit 203
Denver, CO 80238-2300 - Phone
- (404) 245-3604
- NPI assigned
- Dec 27, 2022
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DEN.00205455 | CO | Primary |
Addresses
Primary practice location
2373 Central Park Blvd Unit 203
Denver, CO 80238-2300
Mailing address
2373 Central Park Blvd Unit 203
Denver, CO 80238-2300
Phone (404) 245-3604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DEN.00205455 | Other | CO | COLORADO DEPARTMENT OF REGULATORY AGENCIES |
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 |
|---|---|---|---|
| DEN.00205455 | CO | MD | Dentist |
Interoperability endpoints
- malbarrak60811@direct.utmsa.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1013620749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2373 CENTRAL PARK BLVD UNIT 203",
"city": "DENVER",
"state": "CO",
"postal_code": "802382300",
"telephone_number": "404-245-3604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2373 CENTRAL PARK BLVD UNIT 203",
"city": "DENVER",
"state": "CO",
"postal_code": "802382300",
"telephone_number": "404-245-3604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-BARRAK",
"first_name": "MARWAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-27",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CO",
"license": "DEN.00205455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES",
"identifier": "DEN.00205455",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.