Active NPI
Arvada Implants and Cosmetic Dentistry PC
- Dentist
- Arvada, CO
National Provider Identifier
1346946589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- ARVADA IMPLANTS AND COSMETIC DENTISTRY PC
- Practice address
- 5169 W 64TH Ave
Arvada, CO 80003 - Phone
- (720) 347-1162
- NPI assigned
- Jan 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tariq Sawaqed, DDS
- Title
- Owner Dentist
- Phone
- (720) 347-1162
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
5169 W 64TH Ave
Arvada, CO 80003
Mailing address
15111 Prairie PL
Broomfield, CO 80023
Phone (720) 347-1162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94926352 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- Arvada Implants and Cosmetic Dentistry PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Arvada, CO
- NPI 1124734132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675123200000",
"number": "1346946589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15111 PRAIRIE PL",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "80023",
"telephone_number": "720-347-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5169 W 64TH AVE",
"city": "ARVADA",
"state": "CO",
"postal_code": "80003",
"telephone_number": "720-347-1162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARVADA IMPLANTS AND COSMETIC DENTISTRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-31",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A",
"authorized_official_last_name": "SAWAQED",
"authorized_official_first_name": "TARIQ",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "720-347-1162",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "94926352",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
- Arvada Health Center Optical
- Arvada Healthcare, Inc.
- Arvada Hearing Center, Inc.
- Arvada Hearing Center, Inc.
- Arvada Implants and Cosmetic Dentistry P.C.
- Arvada Modern Dentistry, LLP
- Arvada Pediatric Associates, PC
- Arvada Pharmacy and Medical Supply
- Arvada Ralston Medical Center
- Arvada Smiles Dentistry, LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.