Nisa Far, DDS
Individual provider Active NPI Dentist · Brighton, CO
NPI 1043059983 · NPPES record last updated May 21, 2024
Key facts
- NPI
- 1043059983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 00205965 (CO)
- Practice address
- 1790 E Bridge St
Brighton, CO 80601-1934 - Phone
- (303) 659-1064
- NPI assigned
- May 21, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00205965 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O and a Dental and Braces at Brighton PLLC | Dentist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 00205965 | CO | Yes |
Addresses
Primary practice location
1790 E Bridge St
Brighton, CO 80601-1934
Mailing address
12430 Ventana Mesa CT
Castle Pines, CO 80108-9145
Phone (720) 878-3335
Other providers in Brighton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.