Organization Active NPI

Colorado Endodontic Specialists, Inc

  • Endodontics
  • Littleton, CO
National Provider Identifier
1417978453
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7757 Issued in CO
Legal business name
COLORADO ENDODONTIC SPECIALISTS, INC
Practice address
2 W Dry Creek Cir
Suite 170
Littleton, CO 80120-8068
Phone
(303) 795-9699
Fax
(303) 795-9697
NPI assigned
Jul 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Omar A Macaraeg, D.D.S., M.S.NPI 1700958808
Title
Endodontist
Phone
(303) 795-9699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 7757 CO Primary

Addresses

Primary practice location

2 W Dry Creek Cir
Suite 170
Littleton, CO 80120-8068

Mailing address

2 W Dry Creek Cir
Suite 170
Littleton, CO 80120-8068
Phone (303) 795-9699

National Provider Directory

National Provider Directory

Locations

2 W Dry Creek Cir
Ste 170
Littleton, CO 80120
Phone (303) 741-4600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417978453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W DRY CREEK CIR",
            "address_2": "SUITE 170",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208068",
            "telephone_number": "303-795-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W DRY CREEK CIR",
            "address_2": "SUITE 170",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208068",
            "telephone_number": "303-795-9699",
            "fax_number": "303-795-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO ENDODONTIC SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACARAEG",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "303-795-9699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "7757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.