Individual provider Active NPI

Daniel John Rejman, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Aurora, CO
National Provider Identifier
1396940003
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
9257 Issued in CO
Practice address
15159 E Colfax Ave Unit B
Aurora, CO 80011-5707
Phone
(303) 341-5437
Fax
(303) 341-6447
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 9257 CO Primary

Addresses

Primary practice location

15159 E Colfax Ave Unit B
Aurora, CO 80011-5707

Mailing address

2020 Wadsworth Blvd
Suite 18-a
Lakewood, CO 80214-5728
Phone (303) 462-1462

Other identifiers 1

IdentifierTypeStateIssuer
25939335MedicaidCO

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9257COMDGeriatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1396940003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WADSWORTH BLVD",
            "address_2": "SUITE 18-A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145728",
            "telephone_number": "303-462-1462",
            "fax_number": "303-997-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15159 E COLFAX AVE UNIT B",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800115707",
            "telephone_number": "303-341-5437",
            "fax_number": "303-341-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REJMAN",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "9257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25939335",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.