Organization Active NPI

Theresa Shaver Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Aurora, CO
National Provider Identifier
1073042370
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7280 Issued in CO
Legal business name
THERESA SHAVER ORTHODONTICS
Practice address
5001 S Parker Rd Ste 201
Aurora, CO 80015-1183
Phone
(303) 751-1313
Fax
(303) 750-3070
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Theresa Lynn Shaver, DDS
Title
Owner/Orthdontist
Phone
(303) 751-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 7280 CO Primary

Addresses

Primary practice location

5001 S Parker Rd Ste 201
Aurora, CO 80015-1183

Mailing address

5001 S Parker Rd Ste 201
Aurora, CO 80015-1183
Phone (303) 751-1313

Other identifiers 1

IdentifierTypeStateIssuer
17452252MedicaidCO

National Provider Directory

National Provider Directory

Locations

5001 S Parker Rd
Ste 201
Aurora, CO 80015
Phone (303) 751-1313

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073042370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 S PARKER RD STE 201",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151183",
            "telephone_number": "303-751-1313",
            "fax_number": "303-750-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 S PARKER RD STE 201",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151183",
            "telephone_number": "303-751-1313",
            "fax_number": "303-750-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA SHAVER ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/ORTHDONTIST",
        "authorized_official_telephone_number": "303-751-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "7280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17452252",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.