NPIMap

Organization Active NPI

S. Matt Schacht, D.D.S., Professional Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Boulder, CO
National Provider Identifier
1023838430
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
S. MATT SCHACHT, D.D.S., PROFESSIONAL CORPORATION
Practice address
2625 28TH St Ste 200
Boulder, CO 80301-1263
Phone
(303) 341-7151
NPI assigned
Oct 11, 2024
Last updated
Oct 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Stephen Matthew Schacht, DDSNPI 1861695462
Title
President
Phone
(303) 341-7151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

2625 28TH St Ste 200
Boulder, CO 80301-1263

Mailing address

130 Rampart Way Ste 100
Denver, CO 80230-6443
Phone (303) 341-7151

National Provider Directory

National Provider Directory
Tax ID family
Denver Oral Maxillofacial Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2625 28th St
Ste 200
Boulder, CO 80301
Phone (303) 341-7151

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1023838430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 RAMPART WAY STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306443",
            "telephone_number": "303-341-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 28TH ST STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011263",
            "telephone_number": "303-341-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. MATT SCHACHT, D.D.S., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "SCHACHT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-341-7151",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.