NPIMap

Organization Active NPI

Stapleton Children'S Dentistry

  • Pediatric Dentistry
  • Denver, CO
National Provider Identifier
1083848394
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9407 Issued in CO
Legal business name
STAPLETON CHILDREN'S DENTISTRY
Practice address
2373 Central Park Blvd
Suite 305
Denver, CO 80238-2300
Phone
(303) 399-5437
Fax
(303) 399-5445
NPI assigned
May 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Dr. Alfaiyaz Ibrahim, D.D.S.
Title
Owner
Phone
(303) 399-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 9407 CO Primary

Addresses

Primary practice location

2373 Central Park Blvd
Suite 305
Denver, CO 80238-2300

Mailing address

2373 Central Park Blvd
Suite 305
Denver, CO 80238-2300
Phone (303) 399-5437

Other identifiers 1

IdentifierTypeStateIssuer
1265630784OtherCOINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

2373 Central Park Blvd
Unit 305
Denver, CO 80238
Phone (303) 399-5437

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1083848394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD",
            "address_2": "SUITE 305",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382300",
            "telephone_number": "303-399-5437",
            "fax_number": "303-399-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD",
            "address_2": "SUITE 305",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382300",
            "telephone_number": "303-399-5437",
            "fax_number": "303-399-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAPLETON CHILDREN'S DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "ALFAIYAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-399-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "9407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265630784",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.