Brian J Polidori, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

00009836 Issued in CO

Practice address

6565 W Jewell Ave Ste 1a
Lakewood, CO 80232-7102

Phone

(303) 935-3465

Fax

(303) 935-8322

NPI assigned

Jan 23, 2007

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Trusted Bicuspid PLLC

  • General Practice Dentistry
  • Lakewood, CO
  • NPI 1508605015
  NPD

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1164576450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22701 ANN ARBOR TRL",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272574",
            "telephone_number": "313-274-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 W JEWELL AVE STE 1A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802327102",
            "telephone_number": "303-935-3465",
            "fax_number": "303-935-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIDORI",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00009836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael B Plous, D.D.S.
• Kristin Podgurski
• Garrett Evan Poitra
• Sajal S. Pokharel, MD, PHD
• Cara Policelli, RN
• James L Poling
• Kayleigh Nicole Pollack
• Derry Robert Pollock, MT(ASCP), CLS(NCA)
• Jordan Pollock, RN
• Maria Pollock

• Dentist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.