NPIMap

Organization Active NPI

Colorado Regional Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Arvada, CO
National Provider Identifier
1346484193
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0796 Issued in CO
Legal business name
COLORADO REGIONAL ORAL SURGERY
Practice address
8025 Club Crest Drive
Arvada, CO 80005
Phone
(303) 431-0033
Fax
(303) 431-0507
NPI assigned
Apr 23, 2009
Last updated
Apr 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Mrs. Diane M Corona, LPN
Title
Office Manager
Phone
(303) 431-0033

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 0796 CO
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0796 CO Primary

Addresses

Primary practice location

8025 Club Crest Drive
Arvada, CO 80005

Mailing address

8025 Club Crest Drive
Arvada, CO 80005
Phone (303) 431-0033

National Provider Directory

National Provider Directory

Locations

8025 Club Crest Dr
Arvada, CO 80005
Phone (303) 431-0033

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1346484193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 CLUB CREST DRIVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80005",
            "telephone_number": "303-431-0033",
            "fax_number": "303-431-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 CLUB CREST DRIVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80005",
            "telephone_number": "303-431-0033",
            "fax_number": "303-431-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO REGIONAL ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "CORONA",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-431-0033",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "0796",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "0796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.