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

Key facts

NPI: 1124852835
Entity type: Organization (NPI type 2)
Primary specialty: Oral and Maxillofacial Surgery (Dentist) 1223S0112X
Legal business name: S. MATT SCHACHT, D.D.S., PROFESSIONAL CORPORATION
Practice address: 4700 E Bromley LN Ste 105
Brighton, CO 80601-7821
Phone: (303) 341-7151
NPI assigned: Aug 27, 2024
Organization subpart: No

Authorized official

Name: Stephen Matthew Schacht, DDS NPI 1861695462
Title: President
Phone: (303) 341-7151

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

Corporate family (same tax ID) 1

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

S. Matt Schacht, D.D.S., Professional Corporation Oral and Maxillofacial Surgery (Dentist) · Boulder, CO · NPI 1023838430

NPD tax ID

Practitioners 2

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

Stephen Matthew Schacht, D.D.S. Oral and Maxillofacial Surgery (Dentist) · Denver, CO · NPI 1861695462

NPD (past) Authorized official ORAL AND MAXILLOFACIAL SURGERY
Brian Richard Poore Oral and Maxillofacial Surgery (Dentist) · Aurora, CO · NPI 1275093890

NPD ORAL AND MAXILLOFACIAL SURGERY

National Provider Directory

Tax ID family: Denver Oral Maxillofacial Surgery (2 organizations share this tax ID)

Locations

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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Oral and Maxillofacial Surgery (Dentist) Group: 193400000X SINGLE SPECIALTY GROUP	1223S0112X			Yes

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

Denver Oral & Maxillofacial Surgery Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 11, 2024.

{
    "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": "193400000X SINGLE SPECIALTY  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

All providers in Brighton, CO · Oral and Maxillofacial Surgery (Dentist) in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.