Active NPI
Brian Severance, D.D.S
- Dentist
- Denver, CO
National Provider Identifier
1376928085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00202546
- Practice address
- 18620 Green Valley Ranch Blvd Ste 103
Denver, CO 80249-6842 - Phone
- (303) 371-8247
- Fax
- (303) 371-3412
- NPI assigned
- Jul 23, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 00202546 | CO | Primary |
Addresses
Primary practice location
18620 Green Valley Ranch Blvd Ste 103
Denver, CO 80249-6842
Mailing address
18620 Green Valley Ranch Blvd Ste 103
Denver, CO 80249-6842
Phone (303) 371-8247
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00202546 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Dental Green Valley Ranch | Past | Accepting new patients | |
| Green Valley Ranch Dental Partners | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Point of Service
- Denver, CO
- NPI 1760860670
-
- Dentist
- Denver, CO
- NPI 1851739122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1376928085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18620 GREEN VALLEY RANCH BLVD STE 103",
"city": "DENVER",
"state": "CO",
"postal_code": "802496842",
"telephone_number": "303-371-8247",
"fax_number": "303-371-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18620 GREEN VALLEY RANCH BLVD STE 103",
"city": "DENVER",
"state": "CO",
"postal_code": "802496842",
"telephone_number": "303-371-8247",
"fax_number": "303-371-3412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVERANCE",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-23",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00202546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.