Individual provider Active NPI

Lauren Elizabeth Basile, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Englewood, CO
National Provider Identifier
1417299132
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
203147 Issued in CO
Practice address
3701 S Clarkson St Ste 300
Englewood, CO 80113-3960
Phone
(303) 806-8600
Fax
(303) 806-8629
NPI assigned
Mar 20, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 203147 CO Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DR60360447 WA

Addresses

Primary practice location

3701 S Clarkson St Ste 300
Englewood, CO 80113-3960

Mailing address

3701 S Clarkson St Ste 300
Englewood, CO 80113-3960
Phone (303) 806-8600

Other practice location 1

University Of Washington Dept Of Oral
1959 NE Pacific Street BOX 357134
Seattle, WA 98195-0001
Phone (860) 214-7835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 29, 2019 through Jan 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
203147COMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly C Stone MD PC Past Accepting new patients
Colorado Surgical Arts Oral & Maxillofacial Surgery PastSince Dec 7, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1417299132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 S CLARKSON ST STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133960",
            "telephone_number": "303-806-8600",
            "fax_number": "303-806-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S CLARKSON ST STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133960",
            "telephone_number": "303-806-8600",
            "fax_number": "303-806-8629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Washington Dept Of Oral",
            "address_2": "1959 NE Pacific Street BOX 357134",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981950001",
            "country_code": "US",
            "telephone_number": "860-214-7835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASILE",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "203147",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WA",
            "license": "DR60360447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.