Organization Active NPI

Denver Surgical Specialists PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Denver, CO
National Provider Identifier
1205511383
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DENVER SURGICAL SPECIALISTS PC
Practice address
1440 Blake St Ste 100
Denver, CO 80202-1475
Phone
(720) 843-3353
Fax
(720) 843-3354
NPI assigned
Jun 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Dr. Haeman B Noori, DDSNPI 1821256504
Title
Owner/Oral Surgeon
Phone
(720) 475-4772

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)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1440 Blake St Ste 100
Denver, CO 80202-1475

Mailing address

1440 Blake St Ste 100
Denver, CO 80202-1475
Phone (720) 843-3353

Other names 1

  • Peak Oral & Maxillofacial Surgery Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1205511383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 BLAKE ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021475",
            "telephone_number": "720-843-3353",
            "fax_number": "720-843-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 BLAKE ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021475",
            "telephone_number": "720-843-3353",
            "fax_number": "720-843-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER SURGICAL SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "NOORI",
        "authorized_official_first_name": "HAEMAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/ORAL SURGEON",
        "authorized_official_telephone_number": "720-475-4772",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Oral & Maxillofacial Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.