Farbod Jalili Fazel, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00203124 Issued in CO

Practice address

2727 Bryant St Ste 101
Denver, CO 80211-4250

Phone

(720) 456-9050

NPI assigned

Mar 14, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Brilliant Family Dentistry PLLC

  • General Practice Dentistry
  • Denver, CO
  • NPI 1154034593
  NPD Authorized official

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1174984470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 BRYANT ST STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114250",
            "telephone_number": "720-220-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 BRYANT ST STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114250",
            "telephone_number": "720-456-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALILI FAZEL",
        "first_name": "FARBOD",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-14",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00203124",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00203124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric M Jahde, DDS
• Laura Karen Jahnke, BA
• Amanda Jaikel, R.N., N.P.
• Bhushali Jain
• Ali Jalili Fazel, OD
• Soraya Jallad
• Ahmed Abdi Jama, OWNER
• James Chappell MD PC
• James Cole Abrams, LLC
• James M Griffin DPM PC

• General Practice Dentistry in Denver, CO
• Providers in Denver, 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 Feb 24, 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.