Active NPI
Theresa Shaver Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Aurora, CO
National Provider Identifier
1073042370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 7280
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17452252 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.