Individual provider Active NPI

Tariq Sawaqed, DDS

  • General Practice Dentistry
  • Lakewood, CO
National Provider Identifier
1043541402
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN-10098 Issued in CO
Practice address
84 Garrison St Ste a
Suite 240a
Lakewood, CO 80226-7427
Phone
(303) 233-1112
NPI assigned
Jan 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN-10098 CO Primary

Addresses

Primary practice location

84 Garrison St Ste a
Suite 240a
Lakewood, CO 80226-7427

Mailing address

3073 W 109TH PL
Westminster, CO 80031-6825
Phone (720) 347-1162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160209000340 CO Order and Referring Only - DentistPractitioner - Dentist 0749584902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN-10098COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Dental of Colorado Past Accepting new patients

Networks

  • CO HMO D-SNP
  • CO HMO C-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1043541402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 W 109TH PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800316825",
            "telephone_number": "720-347-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 GARRISON ST STE A",
            "address_2": "SUITE 240A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267427",
            "telephone_number": "303-233-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWAQED",
        "first_name": "TARIQ",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-26",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN-10098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.