Organization Active NPI

Ivan S Naiman, DDS, PC

  • Dental Clinic/Center
  • Greenwood Village, CO
National Provider Identifier
1053845586
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
406 Issued in CO
Legal business name
IVAN S NAIMAN, DDS, PC
Practice address
8200 E Belleview Ave Ste 455E
Greenwood Village, CO 80111-2894
Phone
(303) 770-2900
Fax
(303) 770-9050
NPI assigned
Apr 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Dr. Ivan S Naiman, DDSNPI 1013915917
Title
President
Phone
(303) 770-2900

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
Dental Clinic/Center 261QD0000X 406 CO Primary

Addresses

Primary practice location

8200 E Belleview Ave Ste 455E
Greenwood Village, CO 80111-2894

Mailing address

8200 E Belleview Ave Ste 455E
Greenwood Village, CO 80111-2894
Phone (303) 770-2900

Other identifiers 1

IdentifierTypeStateIssuer
02004067MedicaidCO

National Provider Directory

National Provider Directory

Locations

8200 E Belleview Ave
Ste 455E
Greenwood Village, CO 80111
Phone (303) 770-2900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1053845586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE STE 455E",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112894",
            "telephone_number": "303-770-2900",
            "fax_number": "303-770-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE STE 455E",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112894",
            "telephone_number": "303-770-2900",
            "fax_number": "303-770-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN S NAIMAN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "NAIMAN",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-770-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02004067",
            "state": "CO"
        }
    ],
    "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 11, 2017; 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.