Active NPI
Noreen Mian, DDS
- Dentist
- Lafayette, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00204783
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00204783 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Family Health | Current | Accepting new patients | |
| Salud Family Health | Current | 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
- noreen.mian.p4@direct.clinicafamilyhealth.nextgenshare.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Fort Lupton, CO
- NPI 1275530388
-
- Federally Qualified Health Center (FQHC)
- Fort Morgan, CO
- NPI 1740947407
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.