Individual provider Active NPI

Carmeliza Obana Dela Paz, DDS

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1437150257
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
CO7881 Issued in CO
Practice address
7150 Leetsdale Dr
Ste 110a
Denver, CO 80224-3529
Phone
(303) 321-1700
Fax
(303) 321-1784
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X CO7881 CO Primary

Addresses

Primary practice location

7150 Leetsdale Dr
Ste 110a
Denver, CO 80224-3529

Mailing address

3774 S Poplar St
Denver, CO 80237-1332
Phone (303) 753-0510

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
I20150804005172 CO Order and Referring Only - DentistPractitioner - Dentist 9830403807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO7881COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Teeth - Leetsdale P.C. General Practice Past Accepting new patients

Organizations & group practices 1

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437150257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3774 S POPLAR ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371332",
            "telephone_number": "303-753-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 LEETSDALE DR",
            "address_2": "STE 110A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243529",
            "telephone_number": "303-321-1700",
            "fax_number": "303-321-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA PAZ",
        "first_name": "CARMELIZA",
        "middle_name": "OBANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "CO7881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.