Active NPI
Bahman Norouzinia, D.D.S. M.S
- Periodontics
- Highlands Ranch, CO
National Provider Identifier
1326390758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 202501
- Practice address
- 9090 South Ridgeline Blvd Ste 225
Highlands Ranch, CO 80129-2507 - Phone
- (303) 683-1144
- NPI assigned
- Oct 9, 2012
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 202501 | CO | Primary |
Addresses
Primary practice location
9090 South Ridgeline Blvd Ste 225
Highlands Ranch, CO 80129-2507
Mailing address
13065 E 17TH Ave
Aurora, CO 80045-2532
Phone (303) 724-6970
Other names 1
- Dr. Mike Norouzinia
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202501 | CO | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norouzinia Periodontics, P.C. | Periodontics | Current | Accepting new patients |
Locations
9090 Ridgeline Blvd
Ste 225
Highlands Ranch, CO 80129
Phone (303) 683-1144
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Highlands Ranch Periodontics and Dental Implants
- Periodontics
- Highlands Ranch, CO
- NPI 1023814936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1326390758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13065 E 17TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452532",
"telephone_number": "303-724-6970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9090 SOUTH RIDGELINE BLVD STE 225",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292507",
"telephone_number": "303-683-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOROUZINIA",
"first_name": "BAHMAN",
"name_prefix": "Dr.",
"credential": "D.D.S. M.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-09",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CO",
"license": "202501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIKE",
"last_name": "NOROUZINIA",
"prefix": "DR.",
"credential": "D.D.S M.S",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.