Brian Fangman, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

202239 Issued in CO

Practice address

1440 Blake St Ste 100
Denver, CO 80202-1475

Phone

(614) 354-7468

NPI assigned

Oct 8, 2008

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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Ohio State University College of Dentistry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trauma and Emergency Subspecialty Surgeons PLLCGroup PAC ID 1951559293, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trauma and Emergency Subspecialty Surgeons PLLC

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Highlands Ranch, CO
  • NPI 1740543933

  Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• Altitude Surgery Center Lone Tree PLLC

  • Ambulatory Surgical Clinic/Center
  • Lone Tree, CO
  • NPI 1396231627
  NPD Authorized official
• Fangman & Ivey Oral and Facial Surgery PLLC

  dba Altitude Oral and Facial Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Denver, CO
  • NPI 1275120495
  Authorized official Same address or phone
• Fangman Oral and Facial Surgery Professional LLC

  dba Altitude Oral & Facial Surgery PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Lone Tree, CO
  • NPI 1518612266
  Authorized official Same address or phone
• Fangman Oral and Facial Surgery Professional LLC

  dba Altitude Oral & Facial Surgery PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Windsor, CO
  • NPI 1750038089
  Authorized official Same address or phone
• Fangman Oral and Facial Surgery Professional LLC

  dba Altitude Oral Maxillofacial Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Denver, CO
  • NPI 1952791964
  Authorized official Same address or phone
• Altitude Oral and Facial Cosmetic Surgery Lone Tree, PLLC

  dba Robinson and Fangman Cosmetic Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Lone Tree, CO
  • NPI 1770091720
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Healthone LLC

  dba HCA HealthONE Swedish Hospital

  • General Acute Care Hospital
  • Englewood, CO
  • NPI 1396790200
  Care Compare affiliation

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1609027556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 BLAKE ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 BLAKE ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021475",
            "telephone_number": "614-354-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANGMAN",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30023643",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "202239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hsiao-Wei Fang, L.AC.
• Fangman & Ivey Oral and Facial Surgery PLLC (Altitude Oral and Facial Surgery Center)
• Fangman & Ivey Oral and Facial Surgery PLLC (Altitude Oral and Facial Surgery Center)
• Fangman Oral and Facial Surgery Professional LLC (Altitude Oral and Facial Surgery PLLC)
• Fangman Oral and Facial Surgery Professional LLC (Altitude Oral Maxillofacial Implant Center)
• Gabrielle Danae Fangman, MD
• Timothy Lee Fangmeier, LPC
• Alicia Sharon Fankell, LCSW
• Kathi Lynn Fanning, LPC
• Patricia Fantauzzo, OTA

• Oral and Maxillofacial Surgery (Dentist) in Denver, CO
• Providers in Denver, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.