Coal Creek Oral Surgery and Dental Implant Center, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8636 Issued in CO

Legal business name

COAL CREEK ORAL SURGERY AND DENTAL IMPLANT CENTER, PLLC

Practice address

1771 Cherokee TRL
Lafayette, CO 80026-7088

Phone

(720) 588-2505

NPI assigned

Nov 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Curtis J Hayes, DDSNPI 1588876940

Title

Owner

Phone

(720) 588-2505

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Curtis J. Hayes, D.D.S.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Lafayette, CO
  • NPI 1588876940

  Oral and Maxillofacial Surgery

  NPD Authorized official

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1154864106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 CHEROKEE TRL",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267088",
            "telephone_number": "720-588-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 CHEROKEE TRL",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267088",
            "telephone_number": "720-588-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAL CREEK ORAL SURGERY AND DENTAL IMPLANT CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-588-2505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "8636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84870052",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelley Morrison Cluzel, P.T.
• Co Specialty Dental Services, PLLC
• Coal Creek Ambulatory Surgery Center PC
• Coal Creek Chiropractic, PLLC
• Coal Creek Meals on Wheels
• Coalition for Queer Joy, LLC
• Emma Cohan, PSYD
• Rebecca F Cohen, LCSW
• Mark L Cole, M.D.
• Devon Colegrove

• Oral and Maxillofacial Surgery (Dentist) in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.