Organization Active NPI

Arvada Implants and Cosmetic Dentistry P.C.

  • Dentist
  • Arvada, CO
National Provider Identifier
1124734132
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ARVADA IMPLANTS AND COSMETIC DENTISTRY P.C.
Practice address
5169 W 64TH Ave
Arvada, CO 80003-6531
Phone
(720) 784-7773
NPI assigned
Jan 24, 2023
Last updated
Jan 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Tariq Sawaqed, DDSNPI 1043541402
Title
Owner Dentist
Phone
(720) 347-1162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

5169 W 64TH Ave
Arvada, CO 80003-6531

Mailing address

15111 Prairie PL
Broomfield, CO 80023-8789
Phone (720) 347-1162

Other identifiers 1

IdentifierTypeStateIssuer
99873834MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Arvada Implants and Cosmetic Dentistry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1124734132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15111 PRAIRIE PL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800238789",
            "telephone_number": "720-347-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5169 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800036531",
            "telephone_number": "720-784-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARVADA IMPLANTS AND COSMETIC DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "SAWAQED",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "720-347-1162",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99873834",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.