Colorado Oral Surgery Center PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

04858 Issued in CO

Legal business name

COLORADO ORAL SURGERY CENTER PC

Practice address

965 S Colorado Blvd
Denver, CO 80246-2405

Phone

(303) 744-1369

Fax

(303) 744-9865

NPI assigned

Apr 4, 2007

Last updated

Jan 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard B Mitz, DDSNPI 1780841619

Title

Owner

Phone

(303) 744-1369

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard B Mitz, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Denver, CO
  • NPI 1780841619
  NPD (past) Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1235251174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 S COLORADO BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462405",
            "telephone_number": "303-744-1369",
            "fax_number": "303-744-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 S COLORADO BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462405",
            "telephone_number": "303-744-1369",
            "fax_number": "303-744-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO ORAL SURGERY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "MITZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-744-1369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "04858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colorado OB GYN Partners PLLC (The Women's Health Group, Mile High OB/GYN, Midwifery at Rose)
• Colorado OB/GYN Partners, PLLC
• Colorado OB/GYN Partners, PLLC
• Colorado Oculofacial Plastic Surgery
• Colorado Ophthalmology Associates PC
• Colorado Orthopedic Specialists
• Colorado Orthotic & Prosthetic Services LLC (Evergreen Prosthetics and Orthotics)
• Colorado Orthotic & Prosthetic Services, LLC (Evergreen Prosthetics & Orthotics)
• Colorado Pain & Rehabilitation PLLC
• Colorado Pain and Rehab Professional LLC

• Dental Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.