NPIMap

Organization Active NPI

Yah Ortho Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Alamosa, CO
National Provider Identifier
1487247771
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
YAH ORTHO INC
Practice address
216 Victoria Ave
Alamosa, CO 81101-2210
Phone
(719) 937-2227
NPI assigned
Feb 17, 2021
Organization subpart
Yes
Parent organization
YAH ORTHO INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Pawel R Bielecki, DDS
Title
Owner
Phone
(719) 696-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

216 Victoria Ave
Alamosa, CO 81101-2210

Mailing address

3821 W Pueblo Blvd
Pueblo, CO 81005-2713
Phone (179) 564-6467

Other identifiers 1

IdentifierTypeStateIssuer
31571336MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Yah Ortho Inc4 organizations share this tax ID, including this one
Part of
Yah Ortho Inc

Other organizations with this tax ID 3

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

Locations

216 Victoria Ave
Alamosa, CO 81101
Phone (719) 631-4110

3821 W Pueblo Blvd
Pueblo, CO 81005
Phone (719) 564-6467

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1487247771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 W PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052713",
            "telephone_number": "179-564-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 VICTORIA AVE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012210",
            "telephone_number": "719-937-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAH ORTHO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YAH ORTHO INC",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "BIELECKI",
        "authorized_official_first_name": "PAWEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-696-9009",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31571336",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.