Organization Active NPI

S. Matt Schacht, D.D.S., Professional Corporation

Doing business as Denver Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Brighton, CO
National Provider Identifier
1124852835
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
S. MATT SCHACHT, D.D.S., PROFESSIONAL CORPORATION
Doing business as
Denver Oral & Maxillofacial Surgery
Practice address
4700 E Bromley LN Ste 105
Brighton, CO 80601-7821
Phone
(303) 341-7151
NPI assigned
Aug 27, 2024
Last updated
Oct 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Stephen Matthew Schacht, DDSNPI 1861695462
Title
President
Phone
(303) 341-7151

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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Primary

Addresses

Primary practice location

4700 E Bromley LN Ste 105
Brighton, CO 80601-7821

Mailing address

130 Rampart Way Ste 100
Denver, CO 80230-6443
Phone (303) 341-7151

Other names 1

  • Denver Oral & Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Denver Oral Maxillofacial Surgery2 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.

Locations

4700 E Bromley Ln
Ste 105
Brighton, CO 80601
Phone (303) 341-7151

130 Rampart Way
Ste 100
Denver, CO 80230
Phone (303) 341-7151

Practitioners & affiliated clinicians

Practitioners 2

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": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1124852835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 RAMPART WAY STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306443",
            "telephone_number": "303-341-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 E BROMLEY LN STE 105",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806017821",
            "telephone_number": "303-341-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. MATT SCHACHT, D.D.S., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "SCHACHT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-341-7151",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Denver Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.