Active NPI
Altitude Dentistry PLLC
Doing business as Altitude Special Needs and Pediatric Dentistry
- Dental Clinic/Center
- Denver, CO
National Provider Identifier
1568906121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DEN.00202224
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.