Charisma Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN00202793 Issued in CO

Legal business name

CHARISMA FAMILY DENTISTRY

Practice address

1880 S Pierce St Ste 16B
Lakewood, CO 80232-7143

Phone

(303) 953-1418

Fax

(720) 524-4411

NPI assigned

Jul 25, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jesus Loza, DDS

Title

Owner

Phone

(954) 609-6611

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023531647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 S PIERCE ST STE 16B",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802327143",
            "telephone_number": "303-953-1418",
            "fax_number": "720-524-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 S PIERCE ST STE 16B",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802327143",
            "telephone_number": "303-953-1418",
            "fax_number": "720-524-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARISMA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LOZA",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-609-6611",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN00202793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Change Inc
• Kimberly Nichole Chapman
• Sarah Chapman, LPC
• Arica Chard
• Michael Chard
• Kristie Ann Charron, RN
• Jessica Leiann Chatham, B.A.
• Zeinab Kristen Chatila, FDN-P
• Haley Chatwin, LCSW, ADDC
• Amy Kristine Chavez, L.AC., RMT

• General Practice Dentistry in Lakewood, CO
• Providers in Lakewood, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.