Individual provider Active NPI

Noreen Mian, DDS

  • Dentist
  • Lafayette, CO
National Provider Identifier
1396366159
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00204783 Issued in CO
Practice address
1735 S Public Rd
Lafayette, CO 80026-7093
Phone
(303) 650-4460
NPI assigned
May 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00204783 CO Primary

Addresses

Primary practice location

1735 S Public Rd
Lafayette, CO 80026-7093

Mailing address

13065 E. 17TH Avenue
Mail Stop F-847
Aurora, CO 80045

Other practice location 1

13065 E. 17th Avenue
Mail Stop F-847
Aurora, CO 80045
Phone (303) 724-6624

Other practice location 2

220 E Rogers Rd
Longmont, CO 80501-6027
Phone (303) 697-2583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305000186 CO Practitioner - Dentist 1052756756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00204783COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Family Health Current Accepting new patients
Salud Family Health CurrentSince Apr 8, 2024 Accepting new patients

Locations

203 S Rollie Ave
Fort Lupton, CO 80621
Phone (303) 286-4560

5995 Iris Pkwy
Frederick, CO 80504
Phone (303) 833-2050

220 E Rogers Rd
Longmont, CO 80501
Phone (303) 776-3250

Interoperability endpoints

  • Direct secure messaging: noreen.mian.p4@direct.clinicafamilyhealth.nextgenshare.com
  • Direct secure messaging: noreen.mian@sfhc.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1396366159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13065 E. 17TH AVENUE",
            "address_2": "MAIL STOP F-847",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 S PUBLIC RD",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267093",
            "telephone_number": "303-650-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13065 E. 17th Avenue",
            "address_2": "Mail Stop F-847",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80045",
            "country_code": "US",
            "telephone_number": "303-724-6624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 E Rogers Rd",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805016027",
            "country_code": "US",
            "telephone_number": "303-697-2583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIAN",
        "first_name": "NOREEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00204783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.