Desert Southwest Oral and Facial Surgery

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DESERT SOUTHWEST ORAL AND FACIAL SURGERY

Practice address

33 N Elm St Ste B
Cortez, CO 81321-3105

Phone

(970) 516-4100

Fax

(970) 632-6178

NPI assigned

Mar 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Justin Bidwell Sikes, DMDNPI 1952595605

Title

Owner

Phone

(970) 516-4100

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Tax ID family

Desert Southwest Oral and Facial Surgery2 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.

• Desert Southwest Oral and Facial Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Cortez, CO
  • NPI 1932943701
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin B Sikes, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Shiprock, NM
  • NPI 1952595605
  NPD Authorized official

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1376299131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 N ELM ST STE B",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213105",
            "telephone_number": "205-572-1035",
            "fax_number": "970-632-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N ELM ST STE B",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213105",
            "telephone_number": "970-516-4100",
            "fax_number": "970-632-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SOUTHWEST ORAL AND FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "SIKES",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "BIDWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-516-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01385828",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251853",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22603085",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dswofs@mdofficemail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "33 N Elm St Ste B",
            "city": "Cortez",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813213105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daystar Psychiatric Solutions, LLC
• Susan Dees, PSYD
• Bethany Demarco
• Karla J Demby, MD
• Kristi Dennison, CPT
• Desert Southwest Oral and Facial Surgery
• Anna Leah Diaz, MS, LPC
• Dillon Companies LLC
• Carson Chandler Dobbs
• Michael C Dohn, RN, CDE

• Dental Clinic/Center in Cortez, CO
• Providers in Cortez, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.