Active NPI
Omar Al Bayati, DDS
- General Practice Dentistry
- Denver, CO
National Provider Identifier
1124546809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN.00203228
- Practice address
- 155 Cook St Ste 201
Denver, CO 80206-5316 - Phone
- (719) 368-9043
- NPI assigned
- Sep 1, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 36105 | TX | |
| General Practice Dentistry | 1223G0001X | DEN.00203228 | CO | Primary |
Addresses
Primary practice location
155 Cook St Ste 201
Denver, CO 80206-5316
Mailing address
4822 Xanthia St Apt 102
Denver, CO 80238-3626
Phone (602) 315-9589
Other practice location 1
711 W 38th St Ste G5
Austin, TX 78705-1134
Phone (512) 686-5819
Other practice location 2
4200 E 8th Ave Ste 200
Denver, CO 80220-3715
Phone (303) 623-4911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201027002734 | TX | Order and Referring Only - Dentist | 5294145512 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00203228 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1124546809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4822 XANTHIA ST APT 102",
"city": "DENVER",
"state": "CO",
"postal_code": "802383626",
"telephone_number": "602-315-9589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 COOK ST STE 201",
"city": "DENVER",
"state": "CO",
"postal_code": "802065316",
"telephone_number": "719-368-9043"
}
],
"practiceLocations": [
{
"address_1": "711 W 38th St Ste G5",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787051134",
"country_code": "US",
"telephone_number": "512-686-5819",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4200 E 8th Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802203715",
"country_code": "US",
"telephone_number": "303-623-4911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL BAYATI",
"first_name": "OMAR",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-01",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "36105",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "DEN.00203228",
"primary": true
}
],
"identifiers": [],
"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 Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.