Nesiba Surgical Arts PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

NESIBA SURGICAL ARTS PLLC

Doing business as

Cherry Creek Oral Surgery and Dental Implants

Practice address

3955 E Exposition Ave Ste 520
Denver, CO 80209-5030

Phone

(303) 777-1603

Fax

(303) 777-1694

NPI assigned

Dec 10, 2020

Organization subpart

No

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

Authorized official

Name

John R Nesiba, MD, DDS

Title

Owner

Phone

(303) 777-1603

Specialties & licenses 1

Addresses

Other names 1

• Cherry Creek Oral Surgery and Dental Implants Doing business as

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1093311300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1119",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672011119",
            "telephone_number": "303-777-1603",
            "fax_number": "303-777-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE STE 520",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095030",
            "telephone_number": "303-777-1603",
            "fax_number": "303-777-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESIBA SURGICAL ARTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "NESIBA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-777-1603",
        "authorized_official_credential": "MD, DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry Creek Oral Surgery and Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stuart Alan Nerzig, MD
• Taylor Nesbit, PA-C
• Emily Kathryn Nesbitt
• Erin Nesbitt, M.S, CCC-SLP
• Timothy Ryan Nesbitt
• John Robert Nesiba, M.D., D.D.S.
• Megan Ness
• Crystal Nester, PHARMD
• Trent Nestman, D.D.S., M.S.
• Linda Nestor, RN

• Oral and Maxillofacial Surgery (Dentist) in Denver, CO
• Providers in Denver, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.