Andre D. Nazarov DMD.,Ms.,PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8530 Issued in CO

Legal business name

ANDRE D. NAZAROV DMD.,MS.,PC

Practice address

11211 S Dransfeldt Rd
122
Parker, CO 80134-9385

Phone

(720) 842-4544

NPI assigned

Jun 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andre D Nazarov, DMD.,MS.,PC

Title

Owner

Phone

(720) 842-4544

Specialties & licenses 1

Addresses

Tax ID family

Andre D Nazarov Dmdmspc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Andre D. Nazarov DMD.,Ms.,PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lakewood, CO
  • NPI 1922200542
  NPD tax ID

Locations

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578766010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 S DRANSFELDT RD",
            "address_2": "122",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349385",
            "telephone_number": "720-842-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 S DRANSFELDT RD",
            "address_2": "122",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349385",
            "telephone_number": "720-842-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRE D. NAZAROV DMD.,MS.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAZAROV",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-842-4544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD.,MS.,PC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "8530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Parker, CO
• Providers in Parker, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.