NPIMap

Organization Active NPI

Advanced Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Littleton, CO
National Provider Identifier
1457947376
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ADVANCED ORAL & MAXILLOFACIAL SURGERY
Practice address
10146 W San Juan Way Unit 210
Littleton, CO 80127-6326
Phone
(303) 768-8570
Fax
(303) 768-8572
NPI assigned
Dec 15, 2020
Last updated
Dec 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Cheree Jubin
Title
Practice Manager
Phone
(303) 768-8570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

10146 W San Juan Way Unit 210
Littleton, CO 80127-6326

Mailing address

10146 W San Juan Way Unit 210
Littleton, CO 80127-6326

National Provider Directory

National Provider Directory
Tax ID family
Advanced Oral Maxillofacial Surgery4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10146 W San Juan Way
Unit 210
Littleton, CO 80127
Phone (303) 768-8570

Practitioners & affiliated clinicians

Practitioners 3

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": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1457947376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10146 W SAN JUAN WAY UNIT 210",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10146 W SAN JUAN WAY UNIT 210",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276326",
            "telephone_number": "303-768-8570",
            "fax_number": "303-768-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "JUBIN",
        "authorized_official_first_name": "CHEREE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "303-768-8570"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "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 Dec 15, 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.