Organization Active NPI

Usmile Dental Group, PC

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1104273622
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00010381 Issued in CO
Legal business name
USMILE DENTAL GROUP, PC
Practice address
9801 E Colfax Ave
Aurora, CO 80010-2154
Phone
(720) 520-2053
NPI assigned
May 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Michael Shifman, DDS
Title
Clinical Director
Phone
(720) 520-2053

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DEN.00010381 CO
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DEN.00010381 CO Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X DEN.00010381 CO

Addresses

Primary practice location

9801 E Colfax Ave
Aurora, CO 80010-2154

Mailing address

9801 E Colfax Ave
Aurora, CO 80010-2154
Phone (720) 520-2053

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1104273622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 E COLFAX AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800102154",
            "telephone_number": "720-520-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 E COLFAX AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800102154",
            "telephone_number": "720-520-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USMILE DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "SHIFMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "720-520-2053",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00010381",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00010381",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "DEN.00010381",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 16, 2016; 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.