Organization Active NPI

Arvada Implants and Cosmetic Dentistry PC

  • Dentist
  • Arvada, CO
National Provider Identifier
1346946589
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Jan 31, 2023

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
94926352MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Arvada Implants and Cosmetic Dentistry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.