Organization Active NPI

Aurora Plastic Surgery, P.C.

  • Specialist
  • Aurora, CO
National Provider Identifier
1093937625
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AURORA PLASTIC SURGERY, P.C.
Practice address
1411 S. Potomac Street
Suite 310
Aurora, CO 80012
Phone
(303) 695-4369
Fax
(303) 695-4649
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Jonathan Sollender, M.D.
Title
President
Phone
(303) 695-4369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1411 S. Potomac Street
Suite 310
Aurora, CO 80012

Mailing address

1411 S. Potomac Street
Suite 310
Aurora, CO 80012
Phone (303) 695-4369

Other identifiers 1

IdentifierTypeStateIssuer
44189541MedicaidCO

National Provider Directory

National Provider Directory

Locations

1411 S Potomac St
Ste 310
Aurora, CO 80012
Phone (303) 268-8220

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1093937625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 S. POTOMAC STREET",
            "address_2": "SUITE 310",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80012",
            "telephone_number": "303-695-4369",
            "fax_number": "303-695-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S. POTOMAC STREET",
            "address_2": "SUITE 310",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80012",
            "telephone_number": "303-695-4369",
            "fax_number": "303-695-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PLASTIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "SOLLENDER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-695-4369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44189541",
            "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 Mar 17, 2008; 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.