Michael John Mierzejewski, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

10703 Issued in CO

Practice address

10350 Federal Blvd
Suite 300
Federal Heights, CO 80260-8615

Phone

(303) 427-2722

Fax

(303) 427-9280

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Comfort Dental Westminster

  • Dentist
  • Federal Heights, CO
  • NPI 1306062112
  NPD (past)
• Dr. Gerald W Trammell P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Federal Heights, CO
  • NPI 1669746889
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1063555043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 FEDERAL BLVD",
            "address_2": "SUITE 300",
            "city": "FEDERAL HEIGHTS",
            "state": "CO",
            "postal_code": "802608615",
            "telephone_number": "303-427-2722",
            "fax_number": "303-427-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 FEDERAL BLVD",
            "address_2": "SUITE 300",
            "city": "FEDERAL HEIGHTS",
            "state": "CO",
            "postal_code": "802608615",
            "telephone_number": "303-427-2722",
            "fax_number": "303-427-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIERZEJEWSKI",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5133",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "5133",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ann Nguyen

• Dentist in Federal Heights, CO
• Providers in Federal Heights, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.