Individual provider Active NPI

Fadi Zrik, DDS

  • Dentist
  • Wellington, CO
National Provider Identifier
1063186377
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00204851 Issued in CO
Practice address
7859 6TH St
Wellington, CO 80549-5045
Phone
(970) 568-4442
NPI assigned
Aug 2, 2021
Last updated
Aug 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00204851 CO Primary

Addresses

Primary practice location

7859 6TH St
Wellington, CO 80549-5045

Mailing address

6535 Independence St
Frederick, CO 80516-9764
Phone (703) 341-9160

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wellington@openandaffordable.com Direct

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
00204851COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Open and Affordable Dental Arvada PLLC Dentist PastSince Jul 2, 2023 Accepting new patients
Open and Affordable Dental Wellington PLLC Dentist PastSince Dec 1, 2019 Accepting new patients
Convenient Periodontics Wheat Ridge PLLC PastSince Feb 23, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1063186377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 INDEPENDENCE ST",
            "city": "FREDERICK",
            "state": "CO",
            "postal_code": "805169764",
            "telephone_number": "703-341-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7859 6TH ST",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805495045",
            "telephone_number": "970-568-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZRIK",
        "first_name": "FADI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00204851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wellington@openandaffordable.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7859 6th St",
            "city": "Wellington",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805495045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wellington, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.