John Robert Nesiba, M.D., D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

0060857 Issued in CO

Practice address

3955 E Exposition Ave Ste 520
Denver, CO 80209-5030

Phone

(303) 777-1603

Fax

(303) 777-1694

NPI assigned

Jul 5, 2009

Last updated

Feb 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jnesiba408641@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nesiba Surgical Arts PLLC

  dba Cherry Creek Oral Surgery and Dental Implants

  • Oral and Maxillofacial Surgery (Dentist)
  • Denver, CO
  • NPI 1093311300
  Authorized official Same address or phone
• Aurora Hills Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Aurora, CO
  • NPI 1750864906
  NPD (past)

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

{
    "created_epoch": "1246752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1326277906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S WILLIAMS ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092636",
            "telephone_number": "402-730-5776",
            "fax_number": "303-777-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE STE 520",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095030",
            "telephone_number": "303-777-1603",
            "fax_number": "303-777-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESIBA",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D., D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-05",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901020504",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "0060857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Nesbit, PA-C
• Emily Kathryn Nesbitt
• Erin Nesbitt, M.S, CCC-SLP
• Timothy Ryan Nesbitt
• Nesiba Surgical Arts PLLC (Cherry Creek Oral Surgery and Dental Implants)
• Megan Ness
• Crystal Nester, PHARMD
• Trent Nestman, D.D.S., M.S.
• Linda Nestor, RN
• Alexa Rose Neton, BA

• Oral and Maxillofacial Surgery (Dentist) in Denver, CO
• Providers in Denver, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.