Firas Habaj

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00203723 Issued in CO

Practice address

8500 W. Bowler Ave
Ste 305
Littleton, CO 80123

Phone

(303) 972-2988

Fax

(419) 249-6581

NPI assigned

Sep 9, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Firas Al-Habaj Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1598098592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2696 W. GRAND AVE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80123",
            "telephone_number": "419-689-1276",
            "fax_number": "419-249-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 W. BOWLER AVE",
            "address_2": "STE 305",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80123",
            "telephone_number": "303-972-2988",
            "fax_number": "419-249-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABAJ",
        "first_name": "FIRAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-09",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203723",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21301",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2541299",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FIRAS",
            "last_name": "AL-HABAJ",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• General Practice Dentistry in Littleton, CO
• Providers in Littleton, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.