Active NPI
John Samas, MD
- Plastic Surgery Physician
- Northglenn, CO
National Provider Identifier
1326334616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- CDRH.0063432
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CDRH.0063432 | CO | MD | Plastic 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.