Fawaz Aldweesh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00204780 Issued in CO

Practice address

4930 S Yosemite St Ste D1B
Greenwood Village, CO 80111-1382

Phone

(720) 613-3081

NPI assigned

Aug 2, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dentists of Greenwood, LLP

  • General Practice Dentistry
  • Greenwood Village, CO
  • NPI 1245742105
  NPD (past)
• Green Valley Ranch Modern Smiles and Orthodontics, LLP

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1104106095
  NPD (past)

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1124792395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 N SALIDA ST STE 30",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800115000",
            "telephone_number": "303-366-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 S YOSEMITE ST STE D1B",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111382",
            "telephone_number": "720-613-3081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3445 N Salida St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800115000",
            "country_code": "US",
            "telephone_number": "303-366-3383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDWEESH",
        "first_name": "FAWAZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00204780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Achan Akuai
• Callie Ann Albers
• Albertsons LLC
• Bethany Albrecht, LPC
• Melissa Fischer Alconcel, D.D.S.
• Allison Sprung Alexander, LCSW
• Alfabest Home Care, LLC
• Alfabest Home Care, LLC
• Alfabest Home Care, LLC
• Alignmd

• General Practice Dentistry in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.