Active NPI
Matthew Iritani
- Orthodontics and Dentofacial Orthopedics Dentistry
- Greenwood Village, CO
National Provider Identifier
1043881790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DEN.00203636
- Practice address
- 8925 E Union Ave
Greenwood Village, CO 80111 - Phone
- (303) 740-7088
- NPI assigned
- Jul 4, 2021
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DEN.00203636 | CO | Primary |
Addresses
Primary practice location
8925 E Union Ave
Greenwood Village, CO 80111
Mailing address
8925 E Union Ave
Greenwood Village, CO 80111-1304
Phone (303) 740-7088
Other practice location 1
8200 E Belleview Ave Ste 420E
Greenwood Village, CO 80111-2890
Phone (303) 773-6969
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.00203636 | CO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew Iritani, DDS, PLLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Megan Iritani DDS PLLC | Current | Accepting new patients | |
| Patra Watana DMD Pediatric Dentistry LLC | Past | Accepting new patients |
Locations
8925 E Union Ave
Greenwood Village, CO 80111
Phone (303) 740-7088
8200 E Belleview Ave
Ste 420E
Greenwood Village, CO 80111
Phone (303) 740-7088
Organizations & group practices 3
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Greenwood Village, CO
- NPI 1861069536
-
- Dental Clinic/Center
- Greenwood Village, CO
- NPI 1659015055
-
- Pediatric Dentistry
- Greenwood Village, CO
- NPI 1093121667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1043881790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8925 E UNION AVE",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801111304",
"telephone_number": "303-740-7088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8925 E UNION AVE",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "80111",
"telephone_number": "303-740-7088"
}
],
"practiceLocations": [
{
"address_1": "8200 E Belleview Ave Ste 420E",
"address_purpose": "LOCATION",
"city": "Greenwood Village",
"state": "CO",
"postal_code": "801112890",
"country_code": "US",
"telephone_number": "303-773-6969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IRITANI",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-04",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CO",
"license": "DEN.00203636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.