Individual provider Active NPI

Matthew Iritani

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greenwood Village, CO
National Provider Identifier
1043881790
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DEN.00203636 Issued in CO
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

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DEN.00203636COMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Iritani, DDS, PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Jul 1, 2021 Accepting new patients
Megan Iritani DDS PLLC CurrentSince Apr 24, 2022 Accepting new patients
Patra Watana DMD Pediatric Dentistry LLC PastSince Jul 1, 2021 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.

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.

Verify at the official NPI Registry.