Organization Active NPI

Royal Falcons LLC

  • Dentist
  • Denver, CO
National Provider Identifier
1124533328
Registry record updated Dec 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00202224 Issued in CO
Legal business name
ROYAL FALCONS LLC
Practice address
5600 W 44TH Ave
Denver, CO 80212-7339
Phone
(702) 682-6789
NPI assigned
Dec 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2017

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

Authorized official

Name
Shaheen Moezzi, DDSNPI 1609157171
Title
President
Phone
(702) 682-6789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DEN.00202224 CO Primary

Addresses

Primary practice location

5600 W 44TH Ave
Denver, CO 80212-7339

Mailing address

5600 W 44TH Ave
Denver, CO 80212-7339
Phone (702) 682-6789

Other identifiers 1

IdentifierTypeStateIssuer
1609157171MedicaidCO

National Provider Directory

National Provider Directory

Locations

5600 W 44th Ave
Denver, CO 80212
Phone (602) 391-8331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512864000000",
    "number": "1124533328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W 44TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802127339",
            "telephone_number": "702-682-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W 44TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802127339",
            "telephone_number": "702-682-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL FALCONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-10",
        "last_updated": "2017-12-10",
        "status": "A",
        "authorized_official_last_name": "MOEZZI",
        "authorized_official_first_name": "SHAHEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-682-6789",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609157171",
            "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 Dec 10, 2017; 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.