Active NPI
Bruce A Iverson, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Littleton, CO
National Provider Identifier
1508073735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 6978
- Practice address
- 9200 W Cross Dr
Suite 603
Littleton, CO 80123 - Phone
- (303) 932-7458
- Fax
- (303) 932-7460
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 6978 | CO | Primary |
Addresses
Primary practice location
9200 W Cross Dr
Suite 603
Littleton, CO 80123
Mailing address
9200 W Cross Dr
Suite 603
Littleton, CO 80123
Phone (303) 932-7458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6978 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David R Bundy DDS | Past | Accepting new patients | |
| Todd M. Juhlin D.D.S., P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Littleton, CO
- NPI 1699150128
-
- Oral and Maxillofacial Surgery Clinic/Center
- Littleton, CO
- NPI 1003250382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508073735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 W CROSS DR",
"address_2": "SUITE 603",
"city": "LITTLETON",
"state": "CO",
"postal_code": "80123",
"telephone_number": "303-932-7458",
"fax_number": "303-932-7460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W CROSS DR",
"address_2": "SUITE 603",
"city": "LITTLETON",
"state": "CO",
"postal_code": "80123",
"telephone_number": "303-932-7458",
"fax_number": "303-932-7460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVERSON",
"first_name": "BRUCE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CO",
"license": "6978",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.