Hazha Ibrahim, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DEN.00202591 Issued in CO

Practice address

5127 E Bridge St Ste B
Brighton, CO 80601-8318

Phone

(720) 548-4238

NPI assigned

Jul 17, 2015

Last updated

Jul 3, 2019By the provider in NPPES

Sex

Female

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1316321557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E MINERAL AVE APT 530",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124766",
            "telephone_number": "720-548-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5127 E BRIDGE ST STE B",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806018318",
            "telephone_number": "720-548-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "HAZHA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "DEN.00202591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vakhtang Huhua, DDS
• Heather S Hunt
• Racheal Huston, RN
• Douglas Scott Hutchinson, PSY.D.
• Zachary Hutzayluk II, M.D.
• Idea-Brighton
• Inglenook Senior Ventures LP (Inglenook at Brighton LP)
• Injury Care of Colorado LLC (Injury Care of Colorado)
• Inpatient Services, PC
• Integrated Acupuncture Associates

• Pediatric Dentistry in Brighton, CO
• Providers in Brighton, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.