Organization Active NPI

Altitude Dentistry PLLC

Doing business as Altitude Special Needs and Pediatric Dentistry

  • Dental Clinic/Center
  • Denver, CO
National Provider Identifier
1568906121
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DEN.00202224 Issued in CO
Legal business name
ALTITUDE DENTISTRY PLLC
Doing business as
Altitude Special Needs and Pediatric Dentistry
Practice address
5600 W 44TH Ave
Denver, CO 80212-7339
Phone
(602) 391-8331
NPI assigned
Dec 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Shaheen M Moezzi, DDS
Title
Dentist/Owner
Phone
(702) 682-6789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DEN.00202224 CO Primary

Addresses

Primary practice location

5600 W 44TH Ave
Denver, CO 80212-7339

Mailing address

3330 W 34TH Ave
Denver, CO 80211-3129
Phone (602) 391-8331

Other names 1

  • Altitude Special Needs and Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1568906121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 W 34TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113129",
            "telephone_number": "602-391-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W 44TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802127339",
            "telephone_number": "602-391-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTITUDE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "MOEZZI",
        "authorized_official_first_name": "SHAHEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "702-682-6789",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "DEN.00202224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altitude Special Needs and Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.