Individual provider Active NPI

John Samas, MD

  • Plastic Surgery Physician
  • Northglenn, CO
National Provider Identifier
1326334616
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
CDRH.0063432 Issued in CO
Practice address
11150 Huron St Ste 209
Northglenn, CO 80234-4378
Phone
(720) 739-4299
Fax
(720) 744-0442
NPI assigned
Jun 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X CDRH.0063432 CO Primary

Addresses

Primary practice location

11150 Huron St Ste 209
Northglenn, CO 80234-4378

Mailing address

3337 W 154TH PL
Broomfield, CO 80023-4102
Phone (646) 750-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CDRH.0063432COMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1326334616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 W 154TH PL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800234102",
            "telephone_number": "646-750-2333",
            "fax_number": "864-476-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 HURON ST STE 209",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344378",
            "telephone_number": "720-739-4299",
            "fax_number": "720-744-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "CDRH.0063432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.