Neda Tarjan DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NEDA TARJAN DDS PLLC

Doing business as

Bloom Dental Spa

Practice address

6955 S York St Ste 415
Centennial, CO 80122-3277

Phone

(303) 226-6290

Fax

(303) 226-6291

NPI assigned

Feb 12, 2022

Last updated

Nov 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Neda Tarjan, DDSNPI 1972162592

Title

Dentist/Owner

Phone

(720) 445-2550

Specialties & licenses 1

Addresses

Other names 1

• Bloom Dental Spa Doing business as

Locations

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.

• Neda Tarjan, DDS

  • Dentist
  • Centennial, CO
  • NPI 1972162592
  NPD Authorized official

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

{
    "created_epoch": "1644624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1447905096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9461 GREEN ISLAND PL",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801243146",
            "telephone_number": "720-445-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 S YORK ST STE 415",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223277",
            "telephone_number": "303-226-6290",
            "fax_number": "303-226-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDA TARJAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-12",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "TARJAN",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "720-445-2550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Centennial, CO
• Providers in Centennial, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.